NPI 1013717438

Pamela Boudrey

Practitioner Contractor Covington, GA

Practice location

Address: 10 Breckonridge Dr, Covington, GA 30016-2506
Phone: (678) 558-3524

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1013717438
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Mar 2025
Record last updated: 14 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.