Patrice D Boddie in Milledgeville - Internal Medicine
Patrice D Boddie - NPI 1376530774
Patrice D Boddie is a Internal Medicine in Milledgeville, Georgia. Patrice D Boddie practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Patrice D Boddie is 1376530774. The last update date is 2010-10-13.
Patrice D Boddie's current location address is Po Box 1219, Milledgeville, Georgia. You can contact this provider via phone number 4784526999 and fax number 4784527222. The mailing address for Patrice D Boddie is Po Box 1219, Milledgeville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patrice D Boddie |
|---|---|
| Address | Po Box 1219, Milledgeville, Georgia |
| Phone Number | 4784526999 |
| Fax Number | 4784527222 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1376530774 |
|---|---|
| Provider Enumeration Date | 2005-09-30 |
| Last Updated Date | 2010-10-13 |
Provider Mailing Address Detail
| Address | Po Box 1219 |
|---|---|
| City | Milledgeville |
| State | Georgia (GA) |
| Post Code | 310591219 |
| Phone Number | 4784526999 |
| Fax Number | 4784527222 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 27966 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00316852B | GA | -- | |
| 00316852A | GA | -- | |
| 581759458 | GA | TAX PAYER ID | |
| 52238029 | GA | BLUE CROSS/BLUE SHIELD |
Post Comment/ Review Below
What is the Patrice D Boddie's 1376530774?
The Patrice D Boddie's NPI (National Provider Identifier) Number is 1376530774. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Patrice D Boddie is physically located?
The Patrice D Boddie is physically situated at the following address: Po Box 1219, Milledgeville, GA, 310591219.
What is the Patrice D Boddie's specialty and taxonomy code?
The Patrice D Boddie's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
When was the Patrice D Boddie's 1376530774 issued?
The Patrice D Boddie's 1376530774 was issued on 2005-09-30.
When was the Patrice D Boddie's information last updated?
The Patrice D Boddie's information was last updated on 2010-10-13.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY