NPI
Ronald Boulware
NPI 1033189469
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2006-01-26
- Last updated
- 2022-01-28
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Specialties
Licenses
- License FL
- 0078718
- License GA
- 86715
Location
- Practice location
- 216 N Main St
- City
- Madison GA
- Postal code
- 30650-1313
- Phone
- (706) 343-4100
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Madison, GA. 181 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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