Individual
PAMELA BOUDREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 BRECKONRIDGE DR, COVINGTON, GA 30016-2506
(678) 558-3524
Mailing address
10 BRECKONRIDGE DR, COVINGTON, GA 30016-2506
(678) 558-3524
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
GA
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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