Individual
MICHAEL THOMAS BOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-5000
Mailing address
1984 PEACHTREE RD NW, SUITE 505, ATLANTA, GA 30309-5219
(404) 352-1409
(404) 352-8176
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
061702
GA
2085R0204X
Vascular & Interventional Radiology Physician
061702
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002464177
—
GA
Enumeration date
12/30/2007
Last updated
02/12/2018
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