Boudreaux, Renee
Boudreaux, Renee is an sole proprietor health care provider with primary practice located at 1501 Mercer University Dr , Macon GA 31207. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Sports Medicine, which is considered as her primary health care specialty. Boudreaux, Renee can be contacted via phone (478) 301-4609.Contact Information
Primary practice address
1501 Mercer University Dr
Macon GA 31207
Phone: (478) 301-4609
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | AT003149 | Georgia |
Profile Details
| NPI number | 1770004715 |
|---|---|
| LBN Legal business name | Boudreaux, Renee |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2017 |
| Last updated | Jun 29th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770004715 | NPPES |
| Georgia | Other | BOC317023 | ATHLETIC TRAINING |
Popular Providers
-
Schaengold, Howard
466 228Th Ave Ne , Sammamish WA 98074-7209 -
Robison, James Bryan
7 N Knoll Rd Ste 3, Mill Valley CA 94941-1665 -
Burns, Darryl E
951 Blanco Cir Suite E, Salinas CA 93901-4451 -
Bernstein, Paul Barry
4200 Sunrise Hwy , Massapequa NY 11758-5303 -
Tsouris, John
2233 Nesconset Hwy Suite 206, Lake Grove NY 11755-1000 -
Block, Mark Stewart
660 Glades Rd Ste 120, Boca Raton FL 33431-6466 -
Ross, Charles F
25 Bond St , Springfield MA 01104-3401 -
Marino, Vincent C.
555 Front St , San Francisco CA 94111-1911