IndividualActive
Cheryl Boudreaux, COA
NPI 1801817747 · Other Specialist/Technologist · Decatur, GA
Provider details
- NPI number
- 1801817747
- Entity type
- Individual
- Primary specialty
- Other Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- COA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
1670 Clairmont Rd
Decatur, GA 30033-4004
Phone: (404) 321-6111
Fax: (404) 327-4918
Approximate (ZIP-level) locationGet directions
Mailing address
2188 Highway 36 E
Jackson, GA 30233-3310
Registry dates
- Enumerated
- 2006-07-23
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.