MR. BOISE EUGENE HANKERSON SR. (NPI# 1619346921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619346921 |
| Entity Type | Individual |
| Full Name | MR. BOISE EUGENE HANKERSON SR. |
| Credential | C.P.S. |
| Practice Address |
2730 Barry Dr Augusta GA 30904-5284 |
| Practice Telephone | 7068692177 |
| Mailing Telephone | 7068692177 |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2016-05-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2730 BARRY DR |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-5284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052431 | Atlanta Regenerative Healthcare LLC | Specialist/Technologist, Other | 2445 Moon Rd Ste 4, Grayson, GA 30017-7851 | 2020-10-29 |
| 1215491691 | Daniels Earl Peters | Specialist/Technologist, Other | 3114 Asbury Sq, Atlanta, GA 30346-2421 | 2019-01-30 |
| 1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
| 1891146726 | Tammy Yvonne Hall | Specialist/Technologist, Other | 6658 Ashebrooke Dr, Douglasville, GA 30135-5375 | 2016-06-22 |
| 1659734721 | Latoya Franklin | Specialist/Technologist, Other | 303 Parkway Dr Ne # 442, Atlanta, GA 30312-1212 | 2016-04-05 |
| 1750742896 | Angel Mccleave | Specialist/Technologist, Other | 1880 Beaver Ridge Circle, Suite D, Norcross, GA 30071 | 2016-03-17 |
| 1174998538 | Pamela Clardy Key | Specialist/Technologist, Other | 834 Park Ln, Madison, GA 30650-1950 | 2015-12-09 |
| 1780053397 | Robert L Lindsey IIi | Specialist/Technologist, Other | 2 Sandstone Dr, Jasper, GA 30143-1805 | 2015-09-24 |
| 1467894386 | Danielle Edwards | Specialist/Technologist, Other | 2399 Parkland Dr Ne, Suite 1112, Atlanta, GA 30324-3557 | 2013-07-19 |
| 1205136223 | Giselle J Philson | Specialist/Technologist, Other | 55 Upper Alabama St Sw, Atlanta, GA 30303-3169 | 2010-10-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.