SearchGeorgia171W00000X

Michael Bostic

NPI 1740506211 · on the registry since 2010

Practice

Address
14104 Jefferson Creek Dr
Alpharetta, GA 30005
Phone
(678) 300-9796

Registry record

Primary taxonomy
171W00000X
171W00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-04-08

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