Individual
MR. ERIC L BOYETTE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
341 PONCE DE LEON AVE NE, ATLANTA, GA 30308
(404) 616-9719
(404) 616-9732
Mailing address
230 E PONCE DE LEON AVE, UNIT 108, DECATUR, GA 30030-3456
(404) 840-2121
(404) 616-9732
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R135750
GA
Other
Enumeration date
05/15/2006
Last updated
07/08/2007
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