Dr Truitt Shane Boatright, MD is a
Pediatrics physician based in Baxley, Georgia. Dr Truitt Shane Boatright is licensed to practice in Georgia (license number 073969) and his current practice location is 654 S Main St, Baxley, Georgia. He can be reached at his office (for appointments etc.) via phone at
(912) 366-6029.
NPI number for Dr Truitt Shane Boatright is 1588983621 and his current mailing address is 654 S Main St, Baxley, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588983621.
Physician's Profile
| Full Name | Dr Truitt Shane Boatright |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 654 S Main St, Baxley, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588983621
- Provider Enumeration Date: 05/28/2010
- Last Update Date: 06/25/2015
Medical Identifiers
Medical identifiers for Dr Truitt Shane Boatright such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588983621 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 073969 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Truitt Shane Boatright is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Truitt Shane Boatright, MD
654 S Main St,
Baxley, GA 31513-0124
Ph: (912) 366-6029 | Dr Truitt Shane Boatright, MD
654 S Main St,
Baxley, GA 31513-0124
Ph: (912) 366-6029 |
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