Individual provider · Type 1 NPI

Cheryl Ann Boudreaux, COA

Other Specialist/Technologist · Decatur, GA

NPI number 1801817747 Active

Practice location

1670 Clairmont Rd
Decatur, GA 30033-4004

Call (404) 321-6111 Map

Fax (404) 327-4918

Mailing address

2188 Highway 36 E
Jackson, GA 30233-3310

Specialties and licenses

TaxonomyCodeLicense
Other Specialist/Technologist Primary 246Z00000XNone listed

Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

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About NPI 1801817747

Cheryl Ann Boudreaux, COA's National Provider Identifier is 1801817747, issued on Jul 23, 2006. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Decatur, GA. The record was last updated on Jul 8, 2007.