Patrice D Boddie


Address: 1001 N Clark St, Milledgeville, GA 31061-3438
Phone: 4784526999

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.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
110150 NAVICENT HEALTH BALDWIN

Other Locations

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

Organization Information

Office Location

Street Address 1001 N CLARK ST
City MILLEDGEVILLE
State GA
Zip 31061-3438

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Competitor

Search similar physicians

City MILLEDGEVILLE
Zip Code 31061
Specialty INTERNAL MEDICINE
City + Specialty MILLEDGEVILLE + INTERNAL MEDICINE

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Dataset Information

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.

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