Organization
DONALD J. BOATRIGHT MD., PC
Active
Parent organization
DONALD J. BOATRIGHT MD., PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DONALD J. BOATRIGHT MD., PC
Authorized official
DONALD J. BOATRIGHT (PHYSICIAN)
(615) 865-8269
Entity
Organization
Contact information
Practice address
205 5TH AVE E, SPRINGFIELD, TN 37172-2435
(615) 384-7580
(615) 384-0516
Mailing address
205 5TH AVE E, SPRINGFIELD, TN 37172-2435
(615) 384-7580
(615) 384-0516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16522
TN
208VP0000X
Pain Medicine Physician
16522
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2566732
CIGNA
TN
01
—
4057158
BCBS
TN
05
—
4057158
—
TN
05
—
4057165
—
TN
05
—
4058614
—
TN
05
—
4114694
—
TN
01
—
7574554
AETNA
TN
Enumeration date
05/31/2012
Last updated
05/31/2012
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