Organization
BOULEVARD FAMILY PRACTICE
Active
Other names
Boulevard Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS WEINER MBBS (PHYSICIAN)
(706) 850-6134
Entity
Organization
Contact information
Practice address
855 W BROAD ST STE A, ATHENS, GA 30601-2511
(706) 850-6134
(706) 850-6318
Mailing address
855 W BROAD ST STE A, ATHENS, GA 30601-2511
(706) 850-6134
(706) 850-6318
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/26/2014
Last updated
07/28/2020
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