Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TRUITT SHANE BOATRIGHT, M.D.
ActivePediatrics · BAXLEY, GA
Registration Details
- NPI Number
- 1588983621
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 28, 2010 (15.961013202328 yrs)
- Last Updated
- Jun 25, 2015
- License
-
073969 (GA)
Practice Information
- Address
-
654 S MAIN STBAXLEY, GA, 315130124Browse GA providers · Browse ZIP 31513
- Phone
- 9123666029
- Fax
- 9123672912
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in BAXLEY, GA
| Name | Credential | NPI |
|---|---|---|
| DR. JOSEFINA CATHRYN ABENDAN DUBBERLY | M.D. | 1124196928 |
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.