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PHILLIP BOATRIGHT PA

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1043764731

Individual Registrant:
 PHILLIP  BOATRIGHT PA
Gender: M
Not Sole Proprietor

Location and contact information for practice:
120A VICTORY DR  SWAINSBORO, GA 30401-3235 US
Tel: 478-237-3291  Fax: 478-237-4344

Contact information for business:
117 KITE RD  SWAINSBORO, GA 30401-3231 US
Tel: 478-289-1303  Fax: --

Registration Information:
NPI: 1043764731
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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