Boulware PA Inc
Boulware PA Inc is a Primary Care Clinic/Center in Madison, Georgia. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
216 N Main StMadison, GA 30650-1313
Phone: (706) 343-4100
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X |
|---|
Record details
| NPI number | 1073266292 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ronald Boulware — Physician · (813) 546-0468 |
| NPI enumerated | January 28, 2022 |
| Last updated in NPPES | January 28, 2022 |
| Certification date | January 28, 2022 |
| Mailing address | Po Box 788, Madison, GA 30650-0788 |