<Unavail>

LBN: Boulevard Family Practice
<Unavail> is an health care organization with primary practice located at 855 W Broad St Ste A , Athens GA 30601-2511. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Boulevard Family Practice can be contacted via phone (706) 850-6134, or through Weiner, Thomas via phone (706) 850-6134.

Contact Information

Primary practice address
855 W Broad St Ste A Athens GA 30601-2511
Phone: (706) 850-6134
Fax: (706) 850-6318
Website:
Map and Directions
Authorized official contact:
Name: Weiner, Thomas MBBS
Phone: (706) 850-6134

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1194133884
LBN Legal business name Boulevard Family Practice
DBA Doing business as <Unavail>
Authorized official Weiner, Thomas MBBS
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2014
Last updated Jul 28th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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