Individual provider · Type 1 NPI

Emerson Bouldin

Student in an Organized Health Care Education/Training Program · Atlanta, GA

NPI number 1861136418 Active

Practice location

1364 Clifton Rd NE
Atlanta, GA 30322-1059

Call (404) 712-2000 Map

Mailing address

636 Darlington Cir NE
Atlanta, GA 30305-2705

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1861136418

Emerson Bouldin's National Provider Identifier is 1861136418, issued on Apr 20, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atlanta, GA. The record was last updated on Apr 20, 2022.