Search › Georgia › 183500000X
Monica Boulis
NPI 1659124592 · on the registry since 2024
Practice
- Address
- 1227 Rockbridge Rd
Stone Mountain, GA 30087 - Phone
- (770) 225-1888
- Fax
- (770) 225-1889
- Organisation at this address
- Medi-Cure
The Kroger Co
Patron Place Llc
Tlc Of Georgia Llc
Smart Transportation LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Additional practice sites
- 575 Professional Dr Ste 170, Lawrenceville, GA
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia