RICHARD BOULWARE P.A.

P.A.

Medical Physician Assistant

NPI: 1124144043Individual

Specialties, Licenses & Credentials

Physician Assistant

Physician Assistant

Code: 363A00000X

0010-01817(NC)

Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

786(SC)

Contact & Hours

Address: 1918 RANDOLPH RD, SUITE 400
CHARLOTTE, NC 28207
Phone: (704) 384-9437

Practice locations map

Location

Practice Location

1918 RANDOLPH RD, CHARLOTTE, NC

Quick Facts

NPI: 1124144043
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 2
Locations: 1

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