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Organization

EMORY UNIVERSITY SCHOOL OF MEDICINE

Active
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Organization

EMORY UNIVERSITY SCHOOL OF MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICHOLAS MATTHEW BOULIS MD (NEUROSURGEON)
(404) 727-2354
Entity
Organization

Contact information

Practice address
1365B CLIFTON RD NE, SUITE B6100, DEPARTMENT OF NEUROSURGERY, ATLANTA, GA 30322-1013
(404) 727-2354
(404) 712-8576
Mailing address
1365B CLIFTON RD NE, SUITE B6100, DEPARTMENT OF NEUROSURGERY, ATLANTA, GA 30322-1013
(404) 727-2354
(404) 712-8576

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
OH

Other

Enumeration date
08/16/2007
Last updated
08/16/2007
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