| Boulware P.a. Inc | |
|
216 N Main St Madison GA 30650-1313 | |
| (706) 343-4100 | |
| Not Available |
| Full Name | Boulware P.a. Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 216 N Main St, Madison, Georgia |
| Authorized Official Name and Position | Ronald Glen Boulware (PHYSICIAN) |
| Authorized Official Contact | 8135460468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulware P.a. Inc Po Box 788 Madison GA 30650-0788 Ph: () - | Boulware P.a. Inc 216 N Main St Madison GA 30650-1313 Ph: (706) 343-4100 |
| NPI Number | 1073266292 |
|---|---|
| Provider Enumeration Date | 01/28/2022 |
| Last Update Date | 01/28/2022 |
| Medicare PECOS PAC ID | 0648665455 |
|---|---|
| Medicare Enrollment ID | O20220314001830 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073266292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Ronald Boulware |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033189469 PECOS PAC ID: 6800068016 Enrollment ID: I20220314001894 |
Eduardo M Cossio Mdpc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1075 S Main St, Ste 300, Madison, GA 30650 Phone: 706-342-0449 Fax: 706-342-8332 | |
Morgan Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1740 Lions Club Rd, Madison, GA 30650 Phone: 706-438-1275 Fax: 706-438-1278 | |
Morgan County Board Of Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2005 S Main St Ste 200, Madison, GA 30650 Phone: 706-752-1266 Fax: 706-752-0286 | |
Morgan Co Hlth Dept Dist 10 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2005 S Main St Ste 200, Madison, GA 30650 Phone: 706-752-1266 Fax: 706-752-0286 | |
Madison Family Medicine,llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1010 Barclay Dr, Madison, GA 30650 Phone: 706-342-1555 Fax: 706-342-3917 | |
Roseann Rigby Weaver, M D, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 172 N Main St, Madison, GA 30650 Phone: 706-342-4106 Fax: 706-343-0046 |