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Dr. Derek Lane Boudreaux, DC
Chiropractor in Marietta, Georgia
NPI 1669640819

Derek Lane Boudreaux is a Chiropractor based in Marietta, GA. Derek Lane Boudreaux practices in Marietta, GA and has the professional credentials of DC. The NPI Number for Derek Lane Boudreaux is 1669640819 and holds a License No. 008213 (Georgia).

The current practice location address for Derek Lane Boudreaux is 3660 Canton Rd, Marietta, GA and can be reached out via phone at 770-596-6367 and via fax at 770-928-1471.

Location: 3660 Canton Rd, Marietta, GA, 30066-2660
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669640819
Provider Name
Derek Lane Boudreaux
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
3660 Canton Rd, Marietta, GA, 30066-2660
Phone Number
770-596-6367
Fax Number
770-928-1471
Provider Enumeration Date
02/11/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3660 Canton Rd
City
Marietta
State
Georgia
Zip
30066-2660
Phone Number
770-596-6367
Fax Number
770-928-1471
person
Provider Business Mailing Address Details
Address
3660 Canton Rd
City
Marietta
State
Georgia
Zip
30066-2660
Phone Number
770-596-6367
Fax Number
770-928-1471
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
008213 (Georgia)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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