Individual
MS. CHERYL ANN BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COA
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
(404) 327-4918
Mailing address
2188 HIGHWAY 36 E, JACKSON, GA 30233-3310
(770) 775-1716
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
07/23/2006
Last updated
07/08/2007
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