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Mr. Scott Emmanuel Boucan
Anesthesiologist Assistant in Mableton, Georgia
NPI 1508530429

Scott Emmanuel Boucan is an Anesthesiologist Assistant based in Mableton, GA. Scott Emmanuel Boucan practices in Mableton, GA. The NPI Number for Scott Emmanuel Boucan is 1508530429 and holds a License No. (Georgia).

The current practice location address for Scott Emmanuel Boucan is 988 Oriole Way Sw, Mableton, GA and can be reached out via phone at 404-697-9142.

Location: 988 Oriole Way Sw, Mableton, GA, 30126-4136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508530429
Provider Name
Scott Emmanuel Boucan
Credential
Provider Entity Type
Individual
Gender
Male
Address
988 Oriole Way Sw, Mableton, GA, 30126-4136
Phone Number
404-697-9142
Fax Number
Provider Enumeration Date
08/04/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
988 Oriole Way Sw
City
Mableton
State
Georgia
Zip
30126-4136
Phone Number
404-697-9142
Fax Number
person
Provider Business Mailing Address Details
Address
988 Oriole Way Sw
City
Mableton
State
Georgia
Zip
30126-4136
Phone Number
404-697-9142
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Anesthesiologist Assistant
Speciality
-
Taxonomy
367H00000X
License No.
(Georgia)
Definition
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 Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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