person
Mark T. Boutwell, DC
Chiropractor in Newnan, Georgia
NPI 1730277682

Mark T. Boutwell is a Chiropractor based in Newnan, GA. Mark T. Boutwell practices in Newnan, GA and has the professional credentials of DC. The NPI Number for Mark T. Boutwell is 1730277682 and holds a License No. CHIR001651 (Georgia).

The current practice location address for Mark T. Boutwell is 12 Jefferson Pkwy, Newnan, GA and can be reached out via phone at 770-251-3408 and via fax at 770-251-3409.

Location: 12 Jefferson Pkwy, Newnan, GA, 30263-5812
person
Provider Profile Details
NPI Number
1730277682
Provider Name
Mark T. Boutwell
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
12 Jefferson Pkwy, Newnan, GA, 30263-5812
Phone Number
770-251-3408
Fax Number
770-251-3409
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
12 Jefferson Pkwy
City
State
Zip
30263-5812
Phone Number
770-251-3408
Fax Number
770-251-3409
person
Provider Business Mailing Address Details
Address
12 Jefferson Pkwy
City
State
Zip
30263-5812
Phone Number
770-251-3408
Fax Number
770-251-3409
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
CHIR001651 (Georgia)
Definition
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.
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