Individual
GEORGINA ELISE BOARDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(407) 288-5246
Mailing address
353 WELLSTONE WAY, RICHMOND HILL, GA 31324-7877
(407) 288-5246
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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