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

Mark Ricard Boudreau Jr., DO

Individual provider Pediatrics Physician · NPI 1659834323

Mark Ricard Boudreau Jr., DO is a Pediatrics Physician in Rome, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

304 Shorter Ave NW Ste 105
Rome, GA 30165-4256
Phone: (706) 236-4880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2370 Rockmart Hwy Ste 100, Cedartown, GA 30125-6029 — (770) 748-7818

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 11273 (GA)

Record details

NPI number1659834323
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 10, 2019
Last updated in NPPESMay 26, 2023
Certification dateMay 26, 2023
Mailing address420 E 2nd Ave Ste 103, Rome, GA 30161-3210

Other providers in Rome