NPI 1922794700

Jeffrey Antonio Bozeman

Practitioner Attendant Care Provider Fairburn, GA

Practice location

Address: 7921 Gossamer Dr, Fairburn, GA 30213-4688
Phone: (470) 631-4564

Registered specialties

Attendant Care Provider Primary

Nursing Service Related Providers Taxonomy 3747A0650X

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Registry record

NPI: 1922794700
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Apr 2023
Record last updated: 13 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.