James Brian Boulware in Lilburn - Athletic Trainer
James Brian Boulware - NPI 1982739041
James Brian Boulware is a Athletic Trainer in Lilburn, Georgia. James Brian Boulware practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for James Brian Boulware is 1982739041. The last update date is 2011-05-25.
James Brian Boulware's current location address is 475 Bruce Way Sw, Lilburn, Georgia. You can contact this provider via phone number 6787646364. The mailing address for James Brian Boulware is 475 Bruce Way Sw, Lilburn, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Brian Boulware |
|---|---|
| Address | 475 Bruce Way Sw, Lilburn, Georgia |
| Phone Number | 6787646364 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MA, ATC, O |
NPI Number Detail
| NPI Number | 1982739041 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2011-05-25 |
Provider Mailing Address Detail
| Address | 475 Bruce Way Sw |
|---|---|
| City | Lilburn |
| State | Georgia (GA) |
| Post Code | 300473025 |
| Phone Number | 6787646364 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | AT001328 |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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What is the unique 10-digit identification code issued to James Brian Boulware by the Centers for Medicare & Medicaid Services?
The James Brian Boulware has been assigned the NPI (National Provider Identifier) 1982739041 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where James Brian Boulware is physically located?
The James Brian Boulware is physically situated at the following address: 475 Bruce Way Sw, Lilburn, GA, 300473025.
What is James Brian Boulware's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for James Brian Boulware is Athletic Trainer, and the taxonomy code that classifies this field of practice is 2255A2300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1982739041 to James Brian Boulware?
The James Brian Boulware received its 1982739041 assignment from the Centers for Medicare & Medicaid Services on 2007-02-22.
When was the information pertaining to James Brian Boulware most recently updated or revised?
The details related to James Brian Boulware, including its address, specialty, and other relevant information, were last updated or revised on 2011-05-25.