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

Individual provider Sports Medicine Podiatrist · NPI 1770004715

Renee Boudreaux, ATC is a Sports Medicine Podiatrist in Macon, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2017
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1501 Mercer University Dr
Macon, GA 31207
Phone: (478) 301-4609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine Podiatrist (primary) Taxonomy 213ES0000X · Licence AT003149 (GA)

Record details

NPI number1770004715
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorYes
NPI enumeratedJune 29, 2017
Last updated in NPPESJune 29, 2017