Individual
DAVID ANTUANE BOSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
960 JOHNSON FERRY RD, STE 500, ATLANTA, GA 30342-1631
(404) 257-0006
(404) 851-1316
Mailing address
960 JOHNSON FERRY RD, STE 500, ATLANTA, GA 30342-1631
(404) 257-0006
(404) 851-1316
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006062
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003151170A
—
GA
Enumeration date
05/18/2011
Last updated
11/30/2020
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