Individual provider · Type 1 NPI

Jacob Boudreaux, MD

Student in an Organized Health Care Education/Training Program · Augusta, GA

NPI number 1497336838 Active

Practice location

1120 15th St # BI2144
Augusta, GA 30912-2426

Call (706) 910-8827 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1497336838

Jacob Boudreaux, MD's National Provider Identifier is 1497336838, issued on Apr 17, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Augusta, GA. The record was last updated on Aug 19, 2022.