| Boulevard Family Practice | |
|
855 W Broad St Ste A Athens GA 30601-2511 | |
| (706) 850-6134 | |
| (706) 850-6318 |
| Full Name | Boulevard Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 855 W Broad St Ste A, Athens, Georgia |
| Authorized Official Name and Position | Thomas Weiner (PHYSICIAN) |
| Authorized Official Contact | 7068506134 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulevard Family Practice 855 W Broad St Ste A Athens GA 30601-2511 Ph: (706) 850-6134 | Boulevard Family Practice 855 W Broad St Ste A Athens GA 30601-2511 Ph: (706) 850-6134 |
| NPI Number | 1194133884 |
|---|---|
| Provider Enumeration Date | 07/26/2014 |
| Last Update Date | 07/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194133884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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