Organization
PATRICE D BODDIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICE BODDIE M.D. (PHYSICIAN/OWNER)
(478) 452-6999
Entity
Organization
Contact information
Practice address
240 N WAYNE ST, MILLEDGEVILLE, GA 31061-3438
(478) 452-6999
(478) 452-7222
Mailing address
240 N WAYNE ST, MILLEDGEVILLE, GA 31061-3438
(478) 452-6999
(478) 452-7222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
027966
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27966
MEDICAL LICENSE
—
Enumeration date
09/18/2013
Last updated
02/05/2021
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