James Brian Boulware, MA, ATC, OTC, LAT
James Brian Boulware, MA, ATC, OTC, LAT is an Athletic Trainer in Lilburn, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2007
What do these letters mean?
Practice location Address checks out
475 Bruce Way SWLilburn, GA 30047-3025
Phone: (678) 764-6364
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence AT001328 (GA) |
|---|
Record details
| NPI number | 1982739041 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MA , ATC , OTC , LAT |
| Sole proprietor | Yes |
| NPI enumerated | February 22, 2007 |
| Last updated in NPPES | May 25, 2011 |
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