Individual
EDWARD PHILIPP BOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 EXECUTIVE PARK DR NE, SUITE 10, ATLANTA, GA 30329-2221
(404) 321-9900
(678) 868-2184
Mailing address
6 EXECUTIVE PARK DR NE, SUITE 10, ATLANTA, GA 30329-2221
(404) 321-9900
(678) 868-2184
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007994
GA
Other
Enumeration date
06/12/2016
Last updated
06/12/2016
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