MILTON DERRICK BODEN


Address: 2665 N Decatur Rd, Suite 330, Decatur, GA 30033-6149
Phone: 4042979755

MILTON DERRICK BODEN (NPI# 1720037310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720037310
Entity Type Individual
Full Name MILTON DERRICK BODEN
Credential M.D.
Practice Address 2665 N Decatur Rd
Suite 330
Decatur
GA 30033-6149
Mailing Address 2101 Chesterfield Dr Ne
Atlanta
GA 30345-3705
Practice Telephone 4042979755
Practice Fax Number 4042975008
Mailing Telephone 4046331945
Mailing Fax Number 4042975008
Enumeration Date 2006-05-09
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0200X Internal Medicine
Specialization: Infectious Disease
041518 GA Allopathic & Osteopathic Physicians

Office Location

Street Address 2665 N DECATUR RD
SUITE 330
City DECATUR
State GA
Zip Code 30033-6149

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265430797 David Alan Miller Internal Medicine 2665 N Decatur Rd, Ste 430, Decatur, GA 30033-6149 2005-07-08
1871034934 Tejal Dinesh Mehta Nurse Practitioner 2665 N Decatur Rd, Suite 430, Decatur, GA 30033-6149 2017-03-09
1235586728 Dana Chason Nurse Practitioner 2665 N Decatur Rd, #230, Decatur, GA 30033-6149 2016-05-16
1700214590 Lauren Paulus Stewart Physician Assistant 2665 N Decatur Rd, Suite 520, Decatur, GA 30033-6149 2013-10-15
1184069973 Aakashi D Patel Physician Assistant 2665 N Decatur Rd, Suite 350, Decatur, GA 30033-6149 2013-05-07
1649537416 Dekalb Neurology Group, LLC Psychiatry & Neurology 2665 N Decatur Rd, Suite 540, Decatur, GA 30033-6149 2012-04-18
1932478849 Medical Oncology Consultants of Atlanta Specialist 2665 N Decatur Rd, Suite 150, Decatur, GA 30033-6149 2011-12-21
1619296746 Alice Azzalin Internal Medicine 2665 N Decatur Rd, Suite 520, Decatur, GA 30033-6149 2010-05-28
1740518612 Paresh P Kamat Internal Medicine 2665 N Decatur Rd, Suite 350, Decatur, GA 30033-6149 2009-12-03
1992934111 Dimple Lilian Kripalani Nurse Practitioner 2665 N Decatur Rd, Suite 430, Decatur, GA 30033-6149 2009-07-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922613785 Healing Minds, Helping Hearts, LLC Social Worker 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 2020-09-09
1700412517 Delana Finney Orthotist Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 2020-03-13
1194389353 Katherine Serafen Physician Assistant 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 2019-04-23
1194290973 Suzanne Johnson Psychologist Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 2018-10-09
1245705334 Mcleod Counseling Services, LLC Clinic/Center 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 2018-10-04
1225514797 Erkin Mirkhatovich Turganov Pharmacist 2951 Cedar Brook Dr, Decatur, GA 30033 2018-07-17
1356834972 Sharlencia Lord Nurse Practitioner 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 2018-06-08
1194213140 Zacarias Yanis Jr. Clinical Neuropsychologist 1276 Mcconnell Drive Ste C., Decatur, GA 30033 2018-04-25
1780181370 Ryan Patton Orthopaedic Surgery 2723 Hollywood Dr, Decatur, GA 30033 2018-04-10
1437669751 Sholanda D Hooper Nurse Practitioner 1601 Clairmont Rd, Decatur, GA 30033 2017-10-02
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Taxonomy Information

Taxonomy Code 207RI0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Infectious Disease

Taxonomy Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558628818 Cassie Marie Grimsley Ackerley Internal Medicine 3131 N Druid Hills Rd Apt 10103, Decatur, GA 30033-2663 2012-04-11
1306931407 Lisa Rotz Internal Medicine 1600 Clifton Rd Ms C-18, Decatur, GA 30333 2006-10-04
1992713408 Patrick Scott Harris Internal Medicine 1215 Seventh Street, Se, Suite 120, Decatur, AL 35601 2006-08-03
1598700981 Anthony Edwards Fiore Internal Medicine 411 Nelson Ferry Rd, Decatur, GA 30030-2323 2006-06-18
1326604745 Michael Timothy Martin Internal Medicine 1670 Clairmont Rd, Decatur, GA 30033-4004 2019-05-10
1306266366 Decatur Morgan Infectious Diseases & Travel Medicine Internal Medicine 1215 7th St Se, Suite 120, Decatur, AL 35601-3337 2014-04-17
1912183302 Emily Jeanne Cartwright Internal Medicine 1670 Clairmont Rd, Decatur, GA 30033-4004 2008-01-15
1730362922 Robert William Pinner Internal Medicine 1670 Clairmont Rd, Decatur, GA 30033-4004 2007-12-11
1164626099 Decatur General Hospital Internal Medicine 1215 7th Street Se, Suite 120, Decatur, AL 35601 2007-06-13
1912032350 Rana Ahmad Hajjeh Internal Medicine 1670 Clairmont Rd, Decatur, GA 30033-4004 2007-02-23
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Competitor

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City DECATUR
Zip Code 30033

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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