Boulevard Family Practice

LBN: Boulevard Family Practice
Boulevard Family Practice is an health care organization with primary practice located at 1010 Prince Ave Ste 184 , Athens GA 30606-5815. 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
1010 Prince Ave Ste 184 Athens GA 30606-5815
Phone: (706) 850-6134
Fax:
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 72846 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 72811 Georgia

Profile Details

NPI number 1508392267
LBN Legal business name Boulevard Family Practice
DBA Doing business as
Authorized official Weiner, Thomas MBBS
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2017
Last updated May 2nd, 2017 - about 9 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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