Organization · Type 2 NPI
Boulware P.a. Inc
Primary Care Clinic/Center · Madison, GA
NPI number
1073266292
Active
Practice location
216 N Main St
Madison, GA 30650-1313
Mailing address
PO Box 788
Madison, GA 30650-0788
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
Other primary care clinic/center providers in Madison
About NPI 1073266292
Boulware P.a. Inc's National Provider Identifier is 1073266292, issued on Jan 28, 2022. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Madison, GA. The record was last updated on Jan 28, 2022.