Richard Allen Boe JR.
Adult Reconstructive Orthopaedic Surgeon
2041 Mesa Valley Way Ste 100
Austell
, Georgia 30106-6856
Richard Allen Boe JR.
Adult Reconstructive Orthopaedic Surgeon
2041 Mesa Valley Way Ste 100
Austell
, Georgia 30106-6856
(770) 944-1100
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Richard Allen Boe JR.
- 2041 Mesa Valley Way Ste 100
- Austell, GA
- Zip : 30106-6856
- Phone : (770) 944-1100
Second Address
- Richard Allen Boe JR.
- 2041 Mesa Valley Way Ste 100
- Austell, GA
- Zip : 30106-6856
- Phone : (770) 944-1100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 84033 | GA |
| N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD467289 | PA |
National Provider Identifier
| NPI | 1013327642 |
|---|---|
| Provider Name | Richard Allen Boe JR. |
| First Address | Austell, GA 30106-6856 |
| Second Address | Austell, GA 30106-6856 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/05/2014 |
| Last Update Date | 31/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.