Provider Type Icon

MARTHA B BOONE M.D. LLC NPI 1497061287


NPI Information

NPI: 1497061287
Provider Name: MARTHA B BOONE M.D. LLC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
3400 OLD MILTON PARKWAY
SUITE A560
ALPHARETTA, GA
ZIP 30005
Phone: (404) 705-8366
Get Directions

MARTHA B BOONE M.D. LLC is an urology in Alpharetta, GA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. MARTHA B BOONE M.D. LLC NPI is 1497061287. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3400 OLD MILTON PARKWAY
SUITE A560
ALPHARETTA, GA
ZIP 30005
Phone: (404) 705-8366
Fax: (404) 705-8314

The provider's authorized official is Martha B Boone .
The authorized official title is Owner and has the following contact phone number (404) 705-8366.

The enumeration date for this NPI number is 8/31/2010 and was last updated on 2/20/2015.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist042408GEORGIANo
2208800000XUrology42408GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F07948MEDICARE UPINGEORGIA
234BDFFTMEDICARE PINGEORGIA
3042408OTHERLICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.