Individual
DR. SARAH HARDY BOUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
509 GORDON AVE, THOMASVILLE, GA 31792-6645
(229) 226-7544
Mailing address
509 GORDON AVE, THOMASVILLE, GA 31792-6645
(229) 225-7140
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
86294
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2017
Last updated
08/06/2021
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