Individual provider · Type 1 NPI

Scott Emmanuel Boucan

Anesthesiologist Assistant · Marietta, GA

NPI number 1508530429 Active

Practice location

2540 Windy Hill Rd SE
Marietta, GA 30067-8605

Call (470) 644-1274 Map

Mailing address

988 Oriole Way SW
Mableton, GA 30126-4136

Other practice locations

  • 988 Oriole Way SW, Mableton, GA 30126-4136 · (404) 697-9142

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Anesthesiologist Assistant Primary 367H00000XNone listed

Anesthesiologist Assistant: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist …

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About NPI 1508530429

Scott Emmanuel Boucan's National Provider Identifier is 1508530429, issued on Aug 4, 2021. The primary taxonomy on file is Anesthesiologist Assistant (367H00000X), and the practice location is in Marietta, GA. The record was last updated on Mar 21, 2025.