Individual
NOBLE BOSTIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
890 HUIET DR, MCDONOUGH, GA 30252-8507
(860) 881-6994
Mailing address
890 HUIET DR, MCDONOUGH, GA 30252-8507
(860) 881-6994
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN226785
GA
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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