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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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