location
search-icon
person
Renee Boudreaux, ATC
Sports Medicine Podiatrist in Macon, Georgia
NPI 1770004715

Renee Boudreaux is a Sports Medicine Podiatrist based in Macon, GA and is specialized in Sports Medicine. Renee Boudreaux practices in Macon, GA and has the professional credentials of ATC. The NPI Number for Renee Boudreaux is 1770004715 and holds a License No. AT003149 (Georgia).

The current practice location address for Renee Boudreaux is 1501 Mercer University Dr, Macon, GA and can be reached out via phone at 478-301-4609.

Location: 1501 Mercer University Dr, Macon, GA, 31207-1515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770004715
Provider Name
Renee Boudreaux
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
1501 Mercer University Dr, Macon, GA, 31207-1515
Phone Number
478-301-4609
Fax Number
Provider Enumeration Date
06/29/2017
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
BOC317023 01 GA ATHLETIC TRAINING
institution
Provider Business Practice Location Address Details
Address
1501 Mercer University Dr
City
Macon
State
Georgia
Zip
31207
Phone Number
478-301-4609
Fax Number
person
Provider Business Mailing Address Details
Address
1501 Mercer University Dr
City
Macon
State
Georgia
Zip
31207
Phone Number
478-301-4609
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
213ES0000X
License No.
AT003149 (Georgia)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.