Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Derek Lane Boudreaux, DC

Individual provider Chiropractor · NPI 1669640819

Dr. Derek Lane Boudreaux, DC is a Chiropractor in Marietta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2008
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

3660 Canton Rd Ste 140
Marietta, GA 30066-2660
Phone: (770) 596-6367
Fax: (770) 928-1471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 008213 (GA)

Record details

NPI number1669640819
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedFebruary 11, 2008
Last updated in NPPESFebruary 11, 2008

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