Organization · Type 2 NPI

Boulevard Family Practice

Family Medicine Physician · Athens, GA

NPI number 1194133884 Active

Practice location

855 W Broad St Ste A
Athens, GA 30601-2511

Fax (706) 850-6318

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4 other providers at this address

Other family medicine physician providers in Athens

See all in Athens →

NPI record

NPI: 1194133884
Entity type: Organization (Type 2)
Issued: Jul 26, 2014
Last updated: Jul 28, 2020
Status: Active

Other names

<unavail>
Boulevard Family Practice · doing business as
Boulevard Family Practice · doing business as

Authorized official

Dr. Thomas Weiner, MBBS
Physician
(706) 850-6134

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1194133884

Boulevard Family Practice's National Provider Identifier is 1194133884, issued on Jul 26, 2014. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Athens, GA. The record was last updated on Jul 28, 2020.