Individual
JILL BOOMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
250 NORTH AVE, ATHENS, GA 30601-2244
(706) 389-6789
(706) 227-7249
Mailing address
250 NORTH AVE, ATHENS, GA 30601-2244
(706) 389-6789
(706) 227-7249
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN082686
GA
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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