Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FLETCHER MAURICE BOULWARE JR., MD
ActiveDR. FLETCHER MAURICE BOULWARE JR., MD is a Anesthesiology healthcare provider located in FORT BENNING, Georgia. NPI 1184608218 is currently active in the NPPES registry. Verify at CMS.
Anesthesiology · FORT BENNING, GA
Registration Details
- NPI Number
- 1184608218
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2005 (20.741213771665 yrs)
- Last Updated
- Dec 21, 2023
- Licenses
-
00026348 (AL)066259 (GA)
Practice Information
- Address
-
6600 VAN AALST BLVDANESTHESIA SUITE 2ND FLOORFORT BENNING, GA, 31905Browse GA providers · Browse ZIP 31905
- Phone
- 7624083108
- Primary Specialty
-
Anesthesiology
207L00000X
- Additional Specialty
- Anesthesiology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.