Patrice D Boddie (NPI# 1376530774, PAC ID# 3971774118) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1376530774 |
PAC ID by PECOS | 3971774118 |
Professional Enrollment ID | I20110920000838 |
Full Name | Patrice D Boddie |
Address |
1001 N Clark St Milledgeville GA 31061-3438 |
Phone Number | 4784526999 |
Gender | F |
Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
Graduation Year | 1985 |
Primary Specialty | INTERNAL MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110150 | NAVICENT HEALTH BALDWIN |
Address | Phone | Organization |
---|---|---|
1001 N Clark St, Milledgeville, GA 31061-3438 | 4784526999 | |
240 N Wayne St, Milledgeville, GA 31061-3438 | 4784526999 | |
90 Pkwy Dr, Sparta, GA 31087-2058 | 7064445527 |
Street Address |
1001 N CLARK ST |
City | MILLEDGEVILLE |
State | GA |
Zip | 31061-3438 |
Name | Specialty | Organization | Address |
---|---|---|---|
Bernard Mark Tortorice | Anesthesiology | Clinical Colleagues Inc | 821 N Cobb St, Millegeville, GA 31061-0000 |
Daniel Eldridge Mcalvin | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 821 N Cobb St, Millegeville, GA 31061-0000 |
Natasha A Parker | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 821 N Cobb St, Millegeville, GA 31061-0000 |
Harinder Singh Brar | General Surgery | 315 N Cobb St, Milledgeville, GA 31061-0315 | |
Sarah M Cook | Chiropractic | 130 Log Cabin Rd, Suite B, Milledgeville, GA 31061-0918 | |
Heather Herring | Nurse Practitioner | Fasttrack Immediate Care of Milledgeville,llc | 1909 N Columbia St, Milledgeville, GA 31061-2170 |
Adegboyega O Orelaja | Physician Assistant | Fasttrack Immediate Care of Milledgeville,llc | 1909 N Columbia St, Milledgeville, GA 31061-2170 |
Gururaj Nayak | Internal Medicine | Fasttrack Immediate Care of Milledgeville,llc | 1909 N Columbia St, Milledgeville, GA 31061-2170 |
Alan J Liebe | Chiropractic | 1776 N Jefferson St, Milledgeville, GA 31061-2215 | |
Thuy Diem Giang | Podiatry | 1820 N Columbia St, Milledgeville, GA 31061-2300 | |
Find all physicians in zip 31061 |
City | MILLEDGEVILLE |
Zip Code | 31061 |
Specialty | INTERNAL MEDICINE |
City + Specialty | MILLEDGEVILLE + INTERNAL MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.