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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1497336838

Dr. Jacob Boudreaux, MD is a Student in an Organized Health Care Education/Training Program in Augusta, Georgia. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1120 15th St # BI2144
Augusta, GA 30912-2426
Phone: (706) 910-8827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1497336838
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2021
Last updated in NPPESAugust 19, 2022
Certification dateAugust 17, 2022

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