Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DEREK LANE BOUDREAUX, D.C.
Active Sole ProprietorDR. DEREK LANE BOUDREAUX, D.C. is a Chiropractor healthcare provider located in MARIETTA, Georgia. NPI 1669640819 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · MARIETTA, GA
Registration Details
- NPI Number
- 1669640819
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 11, 2008 (18.50918893558 yrs)
- Last Updated
- Feb 11, 2008
- License
-
008213 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3660 CANTON RDSUITE 140MARIETTA, GA, 300662660Browse GA providers · Browse ZIP 30066
- Phone
- 7705966367
- Fax
- 7709281471
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in MARIETTA, GA
| Name | Credential | NPI |
|---|---|---|
| DR. ANDREW HENRY KRANTZ | D.C. | 1013904101 |
| DR. JOSEPH L ESPOSITO | DC | 1073504494 |
| DR. STEPHANIE LYNN TUCKER | DC | 1023088267 |
| THOMAS TUMBARELLO | D.C. | 1013986678 |
| DR. SARAH WILKIE | D.C. | 1528037769 |
| DR. PETER S. BAUER | D.C. | 1700855004 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.