Individual
JEREMY BOUDAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
267 S CHURTON ST, HILLSBOROUGH, NC 27278-2695
(818) 732-8131
Mailing address
267 S CHURTON ST, HILLSBOROUGH, NC 27278-2695
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-16004
NC
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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