Individual
ELISE BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(404) 785-5437
Mailing address
1105 CLAIREMONT AVE APT P, DECATUR, GA 30030-1256
(503) 939-4962
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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