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Contact Information

RICHARD A BOE JR, MD
2041 MESA VALLEY WAY STE 100
AUSTELL, GA30106-6856
 Phone: 770-944-1100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for RICHARD A BOE JR · (Male)

NPI Number 1013327642
Status Active
Credentials MD
Entity Individual
Enumeration date 05/05/2014
Last updated 07/31/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 84033
  • PA License # MD467289
Hospital affiliation(s)
  • WELLSTAR COBB HOSPITAL - (Acute Care)
    3950 AUSTELL RD
    AUSTELL, GA 30106
  • WELLSTAR DOUGLAS HOSPITAL - (Acute Care)
    8954 HOSPITAL DRIVE
    DOUGLASVILLE, GA 30134
  • WELLSTAR PAULDING HOSPITAL - (Acute Care)
    2518 JIMMY LEE SMITH PARKWAY
    HIRAM, GA 30141
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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