person
Teresa Boutwell, CST
Medical Physician Assistant in Oxford, Georgia
NPI 1669543203

Teresa Boutwell is a Medical Physician Assistant based in Conyers, GA and is specialized in Medical. Teresa Boutwell practices in Oxford, GA and has the professional credentials of CST. The NPI Number for Teresa Boutwell is 1669543203 and holds a License No. 91956 (Georgia).

The current practice location address for Teresa Boutwell is 70 Ashford Dr, Oxford, GA and can be reached out via phone at 770-985-4257 and via fax at 770-985-4258.

Location: 70 Ashford Dr, Oxford, GA, 30012-7291
person
Provider Profile Details
NPI Number
1669543203
Provider Name
Teresa Boutwell
Credential
CST
Provider Entity Type
Individual
Gender
Female
Address
70 Ashford Dr, Oxford, GA, 30012-7291
Phone Number
770-985-4257
Fax Number
770-985-4258
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
70 Ashford Dr
City
State
Zip
30054-4648
Phone Number
770-985-4257
Fax Number
770-985-4258
person
Provider Business Mailing Address Details
Address
70 Ashford Dr
City
State
Zip
30054-4648
Phone Number
770-985-4257
Fax Number
770-985-4258
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
91956 (Georgia)
Definition
Definition to come...
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