Individual provider · Type 1 NPI

Georgina Elise Boardley, PA-S

Military Health Care Provider · Fort Stewart, GA

NPI number 1124854294 Active

Practice location

1061 Harmon Ave
Fort Stewart, GA 31314-5641

Mailing address

353 Wellstone Way
Richmond Hill, GA 31324-7877

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1124854294

Georgina Elise Boardley, PA-S's National Provider Identifier is 1124854294, issued on Sep 13, 2024. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Fort Stewart, GA. The record was last updated on Sep 13, 2024.