Individual
STEVEN LEANDER BOULDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1559 SPARTA ST, MCMINNVILLE, TN 37110-1316
(931) 815-4000
Mailing address
2818 CHERRY BLOSSOM LN, MURFREESBORO, TN 37129-0222
(615) 410-0400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
67110
GA
207Q00000X
Family Medicine Physician
Primary
55472
TN
207Q00000X
Family Medicine Physician
67110
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003121581H
—
GA
Enumeration date
04/30/2010
Last updated
04/30/2021
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