Organization
DONALD BOATRIGHT, MD., PC
Active
Organization
DONALD BOATRIGHT, MD., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD BOATRIGHT J BOATRIGHT MD (PHYSICIAN)
(615) 865-6269
Entity
Organization
Contact information
Practice address
607 W DUE WEST AVE STE 113, MADISON, TN 37115-4428
(615) 865-6269
(651) 865-4169
Mailing address
607 W DUE WEST AVE STE 113, MADISON, TN 37115-4428
(615) 865-6269
(651) 865-4169
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16522
TN
208VP0000X
Pain Medicine Physician
16522
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2566732
CIGNA
TN
05
—
4057158
—
TN
05
—
4057165
—
TN
01
—
4058614
BCBS
TN
05
—
4058614
—
TN
01
—
7574554
AETNA
TN
Enumeration date
05/31/2012
Last updated
05/31/2012
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