OrganizationActive
Boulware P.A. Inc
NPI 1073266292 · Primary Care Clinic/Center · Madison, GA
Provider details
- NPI number
- 1073266292
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ronald Boulware, Physician(813) 546-0468
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
216 N Main St
Madison, GA 30650-1313
Phone: (706) 343-4100
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 788
Madison, GA 30650-0788
Registry dates
- Enumerated
- 2022-01-28
- Last updated
- 2022-01-28
- Certified
- 2022-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.