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Contact Information

NICHOLAS M BOULIS, MD
1365 CLIFTON RD NE # CLINICB
ATLANTA, GA30322
 Phone: 404-727-2247
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for NICHOLAS M BOULIS · (Male)

NPI Number 1164485041
Status Active
Credentials MD
Entity Individual
Enumeration date 04/11/2006
Last updated 10/15/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 059605
  • OH License # 35079749B
  • OH Medicaid 2258775
Hospital affiliation(s)
  • EMORY UNIVERSITY HOSPITAL - (Acute Care)
    1364 CLIFTON ROAD, NE
    ATLANTA, GA 30322
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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