Dr CLINTON L BOOMGARDEN is a male medical professional, specializing in Physician Assistant. He graduated in 1988 from Medical College Of Georgia.
EMORY CLINIC INC
1365 CLIFTON RD NE
ATLANTA
GA
303221013
Tel: 4047787525
| Npi | 1316049000 |
| Pac Id | 9739371642 |
| Professional Enrollment Id | I20101011000966 |
| Last Name | BOOMGARDEN |
| First Name | CLINTON |
| Middle Name | L |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1988 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
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| Organization Legal Name | EMORY CLINIC INC |
| Group Practice Pac Id | 8820901408 |
| Number Of Group Practice Members | 2207 |
| Line 1 Street Address | 1365 CLIFTON RD NE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ATLANTA |
| State | GA |
| Zip Code | 303221013 |
| Phone Number | 4047787525 |
| Hospital Affiliation Ccn 1 | 110010 |
| Hospital Affiliation Lbn 1 | EMORY UNIVERSITY HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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