DR. Jacob Boudreaux, MD is a student in an organized health care education training program in Augusta, GA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Jacob Boudreaux, MD NPI is 1497336838. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1120 15TH ST # BI2144
AUGUSTA, GA
ZIP 30912-426
Phone: (706) 910-8827
The NPI 1497336838 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/17/2021 and was last updated on 8/19/2022.