MEDICARE: DR. FRANK J BOSTIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CHIR010884	GA

General Provider Information

NPI Number	:	1346966496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK J BOSTIC

Provider Business Mailing Address
First Line	:	160 PADDLE CT
Second Line	:
City	:	PEACHTREE CITY
State	:	GA
Zip	:	30269-4804
Country	:	US
Telephone Number	:	770-298-7015
Fax Number	:

Provider Business Practice Location Address
First Line	:	2836 HIGHWAY 54
Second Line	:
City	:	PEACHTREE CITY
State	:	GA
Zip	:	30269-1026
Country	:	US
Telephone Number	:	770-876-2229
Fax Number	:	678-961-5705

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2022
Last Update Date	:	10/19/2022

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