Paul A Boland is a Specialist in Macon, Georgia. Paul A Boland practices all healthcare services and medical treatments related to Specialist. The NPI Number for Paul A Boland is 1417024670. The last update date is 2007-07-08.
Paul A Boland's current location address is 1138 Lucky Debonair Dr, Macon, Georgia. You can contact this provider via phone number 4789532922 and fax number 4789532927. The mailing address for Paul A Boland is 1138 Lucky Debonair Dr, Macon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul A Boland |
|---|---|
| Address | 1138 Lucky Debonair Dr, Macon, Georgia |
| Phone Number | 4789532922 |
| Fax Number | 4789532927 |
| Sole Proprietor | Y |
| Credentials | CPO |
NPI Number Detail
| NPI Number | 1417024670 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1138 Lucky Debonair Dr |
|---|---|
| City | Macon |
| State | Georgia (GA) |
| Post Code | 312101212 |
| Phone Number | 4789532922 |
| Fax Number | 4789532927 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 6 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6 | GA | STATE O&P LICENSE | |
| CPO 1780 | GA | ABC CERT PROSTH & ORTHO |
Post Comment/ Review Below
What is the Paul A Boland's 1417024670?
The Paul A Boland's NPI (National Provider Identifier) Number is 1417024670. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Paul A Boland's physical address?
The Paul A Boland is physically located at 1138 Lucky Debonair Dr, in the city of Macon, GA, with the postal code 312101212.
What is the Paul A Boland's specialty and taxonomy code?
The Paul A Boland's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When did the Paul A Boland receive its 1417024670?
The Paul A Boland was issued its 1417024670 on 2006-11-30, which is the date when the organization was assigned this unique identifier.
When was the information regarding Paul A Boland, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Paul A Boland, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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