person
Dr. James L Bouchard, DPM
Foot & Ankle Surgery Podiatrist in Lawrenceville, Georgia
NPI 1275521270

James L Bouchard is a Foot & Ankle Surgery Podiatrist based in Lawrenceville, GA and is specialized in Foot & Ankle Surgery. James L Bouchard practices in Lawrenceville, GA and has the professional credentials of DPM. The NPI Number for James L Bouchard is 1275521270 and holds a License No. POD000418 (Georgia).

The current practice location address for James L Bouchard is 15 Hurricane Shoals Rd Ne, Lawrenceville, GA and can be reached out via phone at 770-255-0434 and via fax at 770-255-0433. You can also correspond with James L Bouchard through the mailing address at PO BOX 491658, LAWRENCEVILLE, GA - 30049-0028 (mailing address contact number: 770-255-0434).

Location: 15 Hurricane Shoals Rd Ne, Lawrenceville, GA, 30049-0028
person
Provider Profile Details
NPI Number
1275521270
Provider Name
James L Bouchard
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
15 Hurricane Shoals Rd Ne, Lawrenceville, GA, 30049-0028
Phone Number
770-255-0434
Fax Number
770-255-0433
Provider Enumeration Date
10/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00118148F 05 GA
institution
Provider Business Practice Location Address Details
Address
15 Hurricane Shoals Rd Ne
City
State
Zip
30046-4454
Phone Number
770-255-0434
Fax Number
770-255-0433
person
Provider Business Mailing Address Details
Address
Po Box 491658
City
State
Zip
30049-0028
Phone Number
770-255-0434
Fax Number
770-255-0433
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
POD000418 (Georgia)
Definition
Definition to come...
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