Individual
DR. JOSEPH WELDON BOATWRIGHT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 E CLAY ST, RICHMOND, VA 23219-1325
(804) 643-8914
Mailing address
PO BOX 26591, RICHMOND, VA 23261-6591
(804) 643-8914
(804) 643-4237
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101029134
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6775365
—
VA
Enumeration date
07/01/2005
Last updated
10/19/2012
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