Individual
DR. JOSEPH DANIEL BOAEN IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9100 WHITE BLUFF RD STE 102, SAVANNAH, GA 31406-4673
(912) 999-6885
(844) 440-2335
Mailing address
9100 WHITE BLUFF RD STE 102, SAVANNAH, GA 31406-4673
(912) 999-6885
(844) 440-2335
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
83004
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619696036
PRACTICE NPI
GA
01
—
1821433194
NPI
GA
Enumeration date
05/01/2013
Last updated
11/19/2023
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