Lookup NPI Numbers from the NPI Registry
NPI Profile for GARY F BOULOUX in ATLANTA, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery |
| NPI # | 1750335733 |
|
| Status | Active | |
| Credentials | MD, DDS | |
| Entity | Individual | |
| Enumeration date | 05/22/2006 | |
| Last updated | 11/14/2014 - About 12 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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GARY F BOULOUX
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| SAM E FARISH, DMD 1365B CLIFTON RD NE ATLANTA, GA |
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| ALEXIS N WALLACE, MD AUGUSTA UNIVERSITY MEDICAL CENTER 1120 15TH ST, GA |
| MEAGAN M DANTONE, DO 49 JESSE HILL DR SE 30303, GA |
GARY F BOULOUX, MD, DDS