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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BOULEVARD FAMILY PRACTICE

Active Organization

BOULEVARD FAMILY PRACTICE is a Family Medicine organization located in ATHENS, Georgia. NPI 1508392267 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · ATHENS, GA

Registration Details

NPI Number
1508392267
Provider Type
Organization
NPI Issued
May 2, 2017 (9.2843602766433 yrs)
Last Updated
May 2, 2017
Licenses
72811 (GA)
72846 (GA)

Practice Information

Address
1010 PRINCE AVE STE 184
ATHENS, GA, 306065815
Browse GA providers · Browse ZIP 30606
Phone
7068506134
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.