BOULEVARD FAMILY PRACTICE NPI 1194133884

NPI Information

BOULEVARD FAMILY PRACTICE is a family medicine in Athens, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BOULEVARD FAMILY PRACTICE NPI is 1194133884. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Boulevard Family Practice.

The provider's business location address is:

855 W BROAD ST STE A
ATHENS, GA
ZIP 30601-511
Phone: (706) 850-6134
Fax: (706) 850-6318

The provider's authorized official is Thomas Weiner .
The authorized official title is Physician and has the following contact phone number (706) 850-6134.

The enumeration date for this NPI number is 7/26/2014 and was last updated on 7/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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