BOULWARE P.A. INC

MADISON, GA
NPI1073266292
Entity TypeOrganization
Authorized ContactRONALD GLEN BOULWARE
Physician
813-546-0468
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2022-01-28
Last Update Date2022-01-28
Business Address
BOULWARE P.A. INC
216 N MAIN ST
MADISON, GA 30650-1313
Phone number: 706-343-4100
Mailing Address
BOULWARE P.A. INC
PO BOX 788
MADISON, GA 30650-0788
Phone number: