Individual
DR. TRUITT SHANE BOATRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
654 S MAIN ST, BAXLEY, GA 31513-0124
(912) 366-6029
(912) 367-2912
Mailing address
654 S MAIN ST, BAXLEY, GA 31513-0124
(912) 366-6029
(912) 367-2912
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
073969
GA
Other
Enumeration date
05/28/2010
Last updated
06/25/2015
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