CLINTON L BOOMGARDEN

ATLANTA, GA
NPI1316049000
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  2221)
Enumeration Date2006-09-02
Last Update Date2007-07-08
Business Address
Prof. CLINTON L BOOMGARDEN PA
59 EXECUTIVE PARK SOUTH NE SUITE 2098
ATLANTA, GA 30329-2208
Phone number: 404-778-7230
Mailing Address
Prof. CLINTON L BOOMGARDEN PA
59 EXECUTIVE PARK SOUTH NE SUITE 2098
ATLANTA, GA 30329-2208
Phone number: 404-778-7230
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