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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. You can also correspond with Mark T. Boutwell through the mailing address at 12 JEFFERSON PKWY, NEWNAN, GA - 30263-5812 (mailing address contact number: 770-251-3408).

Location: 12 Jefferson Pkwy, Newnan, GA, 30263-5812
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Newnan
State
Georgia
Zip
30263-5812
Phone Number
770-251-3408
Fax Number
770-251-3409
person
Provider Business Mailing Address Details
Address
12 Jefferson Pkwy
City
Newnan
State
Georgia
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
111N00000X
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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