| Dr Daniel Lock Boatright, CRNA | |
|
2501 N Patterson St, Valdosta, GA 31602-1735 | |
| (229) 244-6852 | |
| Not Available |
| Full Name | Dr Daniel Lock Boatright |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2501 N Patterson St, Valdosta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568230829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 11030208 (Florida) | Primary |
| Entity Name | Valdosta Anesthesia Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134148208 PECOS PAC ID: 0941296636 Enrollment ID: O20040420001277 |
| Entity Name | Tift Regional Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881203305 PECOS PAC ID: 2062745169 Enrollment ID: O20200217002409 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniel Lock Boatright, CRNA 247 Sw Jewel Lake Dr, Lake City, FL 32024-0662 Ph: () - | Dr Daniel Lock Boatright, CRNA 2501 N Patterson St, Valdosta, GA 31602-1735 Ph: (229) 244-6852 |
Michael Shane Exum, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-244-6852 | |
John C Pike, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2501 N Patterson St, Sgmc, Valdosta, GA 31602 Phone: 229-244-6852 Fax: 229-242-2385 | |
Mr. William A Welch Sr., CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4280 N Valdosta Rd, Dept Of Anesthesia, Valdosta, GA 31602 Phone: 229-671-2066 | |
Hunter Burton Fletcher, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2310 N Patterson St, Valdosta, GA 31602 Phone: 229-244-6852 | |
Jeffery Allan Baggett, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-433-1000 | |
Francis J Norman Jr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Sgmc, Valdosta, GA 31602 Phone: 229-244-6852 Fax: 229-242-2385 | |
Joshua Peter Shea, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2501 N Patterson St, Sgmc, Valdosta, GA 31602 Phone: 229-244-6852 Fax: 229-242-2385 |