Mark Ricard Boudreau Jr.
DO | Pediatrics | Male
Mark Ricard Boudreau Jr., DO is a Rome, Georgia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mark Ricard Boudreau Jr. is
304 Shorter Ave Nw Ste 105, Rome, Georgia - 30165-4256. He can be contacted on phone at
706-236-4880.
Mark Ricard Boudreau Jr. is a sole proprietor of his business.
NPI number (Unique professional ID) for Mark Ricard Boudreau Jr. is
1659834323 which was assigned by NPPES on 10 Apr, 2019 and it was last updated on 26 May, 2023.
Mark Ricard Boudreau Jr. license number is
11273 for Pediatrics (208000000X) in Georgia.
Mark Ricard Boudreau Jr. is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mark Ricard Boudreau Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mark Ricard Boudreau Jr. |
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| Credential : | DO |
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| Gender : | Male |
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Business Address:
Mark Ricard Boudreau Jr. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 304 Shorter Ave Nw Ste 105
Rome, GA, 30165-4256
United States |
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| Phone Number : | 706-236-4880 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1659834323 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 Apr, 2019 |
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| Last Updated On : | 26 May, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark Ricard Boudreau Jr. are as mentioned. Primary taxonomy code for Mark Ricard Boudreau Jr., DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 11273 | GA |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
2370 ROCKMART HWY STE 100,
CEDARTOWN, GA, 30125-6029
United States | CEDARTOWN, GA | 770-748-7818 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | mboudreau433959@CarolinasHealthcareSystem.direct-ci.com
| No affiliation |
|
| 304 Shorter Ave NW Ste 105,
Rome, GA, 30165-4256
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 420 E 2nd Ave Ste 103
Rome, GA, 30161-3210
United States |
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| Phone Number : | 706-509-3000 |
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Business Location:
Patients can refer following map for directions to
Mark Ricard Boudreau Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.