Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAMES BRIAN BOULWARE, MA, ATC, OTC, LAT
Active Sole ProprietorJAMES BRIAN BOULWARE, MA, ATC, OTC, LAT is a Athletic Trainer healthcare provider located in LILBURN, Georgia. NPI 1982739041 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LILBURN, GA
Registration Details
- NPI Number
- 1982739041
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 22, 2007 (19.444415864679 yrs)
- Last Updated
- May 25, 2011
- License
-
AT001328 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
475 BRUCE WAY SWLILBURN, GA, 300473025Browse GA providers · Browse ZIP 30047
- Phone
- 6787646364
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in LILBURN, GA
| Name | Credential | NPI |
|---|---|---|
| ELIZABETH WARD | ATC | 1003845512 |
| KELLIN ELIZABETH MCKENNEY | — | 1760704472 |
| MR. ANDREW JOHNSON | MA, ATC, LAT | 1528471117 |
| CELESTE ATCHESON | ATC, LAT | 1518374404 |
| JEREMY CRAIG KEMP | — | 1699281014 |
| HAI HOANG TRAN | ATC | 1992264618 |
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.