Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PROF. CLINTON L BOOMGARDEN, PA
ActivePROF. CLINTON L BOOMGARDEN, PA is a Physician Assistant healthcare provider located in ATLANTA, Georgia. NPI 1316049000 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ATLANTA, GA
Registration Details
- NPI Number
- 1316049000
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 2, 2006 (19.932537381866 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2221 (GA)
Practice Information
- Address
-
59 EXECUTIVE PARK SOUTH NESUITE 2098ATLANTA, GA, 303292208Browse GA providers · Browse ZIP 30329
- Phone
- 4047787230
- Fax
- 4047783835
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ATLANTA, GA
| Name | Credential | NPI |
|---|---|---|
| LEE A COULTER | P.A.-C | 1942207535 |
| MRS. ANNE OLESEN | P.A. | 1215937743 |
| ROBERT B DOAN | PA C | 1083606172 |
| MRS. NANCY C MCINNIS | PA | 1871585158 |
| HILARY R KARP | PA-C | 1245212158 |
| JAIME G ACKERMAN | PA-C | 1013992544 |
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.