Clinton L Boomgarden in Atlanta - Physician Assistant
Clinton L Boomgarden - NPI 1316049000
Clinton L Boomgarden is a Physician Assistant in Atlanta, Georgia. Clinton L Boomgarden practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Clinton L Boomgarden is 1316049000. The last update date is 2007-07-08.
Clinton L Boomgarden's current location address is 59 Executive Park South Ne, Atlanta, Georgia. You can contact this provider via phone number 4047787230 and fax number 4047783835. The mailing address for Clinton L Boomgarden is 59 Executive Park South Ne, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clinton L Boomgarden |
|---|---|
| Address | 59 Executive Park South Ne, Atlanta, Georgia |
| Phone Number | 4047787230 |
| Fax Number | 4047783835 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1316049000 |
|---|---|
| Provider Enumeration Date | 2006-09-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 59 Executive Park South Ne |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303292208 |
| Phone Number | 4047787230 |
| Fax Number | 4047783835 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2221 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Clinton L Boomgarden by the Centers for Medicare & Medicaid Services?
The Clinton L Boomgarden has been issued the NPI (National Provider Identifier) 1316049000, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Clinton L Boomgarden is physically located?
The Clinton L Boomgarden is physically situated at the following address: 59 Executive Park South Ne, Atlanta, GA, 303292208.
What is Clinton L Boomgarden's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Clinton L Boomgarden is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Clinton L Boomgarden receive its 1316049000 assignment from the Centers for Medicare & Medicaid Services?
The Clinton L Boomgarden was assigned its 1316049000 by the Centers for Medicare & Medicaid Services on 2006-09-02.
As of what date were the Clinton L Boomgarden's details last updated?
The information pertaining to the Clinton L Boomgarden, including its address, specialty, and other details, was most recently updated on 2007-07-08.