James Brian Boulware, MA, ATC, OTC, LAT
NPI #1982739041 in Lilburn, Georgia
Provider Information
- NPI Number
- 1982739041
- Entity Type
- Individual
- Name
- James Brian Boulware, MA, ATC, OTC, LAT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MA, ATC, OTC, LAT
- Enumeration Date
- Feb 22, 2007
- Last Updated
- May 25, 2011
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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