NPI 1417110982 · live from the CMS NPI Registry
Benjamin T. Boatright, MD
Internal Medicine, Gastroenterology in Amory, MS. National Provider Identifier 1417110982, active.
NPI record
| NPI | 1417110982 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 1127 Earl Frye Blvd, Suite A, Amory, MS 38821 |
| Practice phone | 662-257-2324 |
| Enumerated | July 5, 2008 |
| Last updated | August 28, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | 21798 (MS) |
| Internal Medicine | 207R00000X | 27198 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.