Individual
DR. FLETCHER MAURICE BOULWARE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6600 VAN AALST BLVD, ANESTHESIA SUITE 2ND FLOOR, FORT BENNING, GA 31905
(762) 408-3108
Mailing address
6600 VAN AALST BLVD, ANESTHESIA SUITE 2ND FLOOR, FORT MOORE, GA 31905
(762) 408-3108
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
00026348
AL
207L00000X
Anesthesiology Physician
Primary
066259
GA
Other
Enumeration date
12/01/2005
Last updated
12/21/2023
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