William Todd Boleman MD

NPI 1558320119 - Allergy & Immunology - 207K00000X

NPI Details
NPI 1558320119
Gender Male
Enumeration Date 03/22/2006
Last Updated 10/11/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
690 DALLAS HWY
SUITE 101
VILLA RICA GA, 30180-1264, US
Phone (770) 459-0620
Fax (770) 456-7604
Business Location
690 DALLAS HWY
SUITE 101
VILLA RICA GA, 30180-1264, US
Phone (770) 459-0620
Fax (770) 456-7604
Toxanomy
Taxonomy Code 207K00000X
License State Pennsylvania
License Number MD-050257-L
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According to our database, Dr. William Todd Boleman MD NPI is 1558320119, taxonomy code is 207K00000X and license number is MD-050257-L, license state is located at Pennsylvania. William Todd Boleman MD physically located at 690 Dallas Hwy, Villa Rica GA, 30180-1264. NPI Number William Todd Boleman MD has the Individual type.

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1558320119 NPI number is provided on an as is basis without warranty of any kind. 1558320119 is maintained by the National Plan & Provider Enumeration System. The contents of William Todd Boleman MD are for informational purposes only.