Provider Demographics
NPI:1558467605
Name:DUNLOP, BOADIE WAID (MD)
Entity Type:Individual
Prefix:
First Name:BOADIE
Middle Name:WAID
Last Name:DUNLOP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:THE EMORY CLINIC DEPARTMENT OF PSYCHIATRY
Mailing Address - Street 2:1365 CLIFTON ROAD, SUITE B6100
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-0001
Mailing Address - Country:US
Mailing Address - Phone:404-778-5526
Mailing Address - Fax:404-778-4655
Practice Address - Street 1:THE EMORY CLINIC DEPARTMENT OF PSYCHIATRY
Practice Address - Street 2:1365 CLIFTON ROAD, SUITE B6100
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-0001
Practice Address - Country:US
Practice Address - Phone:404-778-5526
Practice Address - Fax:404-778-4655
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA0460832084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry