NPI age
8 years
Enumerated 2017-06-29
● Active
Type 1 · Individual
Renee Boudreaux, ATC
Boudreaux is 1 of 1 podiatrist providers in MacOn and 1 of 2 in Georgia.
Primary specialty
Podiatrist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2017-06-29
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2 active podiatrist providers in Georgia.
NPI age
8 years
↓ 6 yr below median (14 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
50% of peers hold subspecialties
NPI lifetime · 2017 → 2026
2017-06Enumerated in NPPES
2017
2026
Where they practice
Practice location
1501 Mercer University Dr
MacOn, GA 31207
Mailing address
1501 Mercer University Dr
MacOn, GA 312071515
Specialties
-
Podiatrist PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | BOC317023 | ATHLETIC TRAINING |
Practice context
Part of a multi-provider practice. 22 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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