DR. Angela Hayes-Boucher, DO

NPI #1124017611 in Marietta, Georgia

Provider Information

NPI Number: 1124017611
Entity Type: Individual
Name: DR. Angela Hayes-Boucher, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Oct 18, 2005
Last Updated: Oct 6, 2019

Practice Location

Address: 3120 JOHNSON FERRY RD
City: Marietta
State: Georgia
ZIP Code: 30062-5657
Phone: (770) 835-4741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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