Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RENEE BOUDREAUX, ATC
Active Sole ProprietorRENEE BOUDREAUX, ATC is a Sports Medicine Podiatrist healthcare provider located in MACON, Georgia. NPI 1770004715 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine Podiatrist · MACON, GA
Registration Details
- NPI Number
- 1770004715
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 29, 2017 (9.0906782891651 yrs)
- Last Updated
- Jun 29, 2017
- License
-
AT003149 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1501 MERCER UNIVERSITY DRMACON, GA, 31207Browse GA providers · Browse ZIP 31207
- Phone
- 4783014609
- Primary Specialty
-
Sports Medicine Podiatrist
213ES0000X
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.