Search › Georgia › 2255A2300X
James Boulware, MA, ATC, OTC, LAT
NPI 1982739041 · on the registry since 2007 · sole proprietor
Practice
- Address
- 475 Bruce Way Sw
Lilburn, GA 30047 - Phone
- (678) 764-6364
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-05-25
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