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Individual

CONNIE REYNOLDS BOATMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPA, PA-C

Contact information

Practice address
550 PEACHTREE ST NE, DAVIS FISCHER BUILDING OFFICE 3245A, ATLANTA, GA 30308-2208
(404) 686-7841
Mailing address
550 PEACHTREE ST NE, DAVIS FISCHER BUILDING OFFICE 3245A, ATLANTA, GA 30308-2208

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005690
GA

Other

Enumeration date
02/03/2010
Last updated
12/02/2014
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