Search › Georgia › 208000000X
Mark Boudreau, DO
NPI 1659834323 · on the registry since 2019
Practice
- Address
- 304 Shorter Ave Nw Ste 105
Rome, GA 30165 - Phone
- (706) 236-4880
- Clinicians at this address
- 87
Additional practice sites
- 2370 Rockmart Hwy Ste 100, Cedartown, GA
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-05-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia