Individual
RICHARD ALLEN BOE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2041 MESA VALLEY WAY STE 100, AUSTELL, GA 30106-6856
(770) 944-1100
Mailing address
2041 MESA VALLEY WAY STE 100, AUSTELL, GA 30106-6856
(770) 944-1100
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
84033
GA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
MD467289
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2014
Last updated
07/31/2020
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