OrganizationActive
A Larry Boulware MD PC
NPI 1427355288 · Primary Care Clinic/Center · Fredericksburg, VA
Provider details
- NPI number
- 1427355288
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Alfred Boulware, Internist - Owner
- License
- 0101236689 (VA)
Practice location
6330 Five Mile Centre Park Ste 400
Fredericksburg, VA 22407-5516
Phone: (540) 548-2284
Fax: (540) 548-2961
Mailing address
6330 Five Mile Centre Park Ste 400
Fredericksburg, VA 22407-5516
Registry dates
- Enumerated
- 2011-02-14
- Last updated
- 2011-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.