Individual provider · Type 1 NPI
Mark T. Boutwell, DC
Chiropractor · Newnan, GA
NPI number
1730277682
Active
Practice location
12 Jefferson Pkwy
Newnan, GA 30263-5812
Fax (770) 251-3409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIR001651 (GA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
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- Peter Z. Ackerson, DCChiropractor Newnan, GA NPI 1144382474
- John Harold Freeman, DCChiropractor Newnan, GA NPI 1144964875
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- Kathryn Elizabeth Davis, DCChiropractor Newnan, GA NPI 1205142064
About NPI 1730277682
Mark T. Boutwell, DC's National Provider Identifier is 1730277682, issued on Oct 10, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Newnan, GA. The record was last updated on Jul 8, 2007.