Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boulevard Family Practice

Organization Family Medicine Physician · NPI 1508392267

Boulevard Family Practice is a Family Medicine Physician in Athens, Georgia. Licensed in Georgia. Registered with an NPI since 2017.

Licensed in
GA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

1010 Prince Ave Ste 184
Athens, GA 30606-5815
Phone: (706) 850-6134
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 72846 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 72811 (GA)

Record details

NPI number1508392267
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Weiner — Physician · (706) 850-6134
NPI enumeratedMay 2, 2017
Last updated in NPPESMay 2, 2017
Mailing address1010 Prince Ave Ste 184, Athens, GA 30606-5815

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