John Randall Boutwell D.C.,B.C.A.O.

NPI 1629115001 - Chiropractor - 111N00000X

NPI Details
NPI 1629115001
Gender Male
Enumeration Date 02/01/2007
Last Updated 02/23/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
3665 WHEELER RD
SUITE 2A
AUGUSTA GA, 30909-6603, US
Phone (706) 860-8717
Fax (706) 860-1341
Business Location
3665 WHEELER RD
SUITE 2A
AUGUSTA GA, 30909-6603, US
Phone (706) 860-8717
Fax (706) 860-1341
Toxanomy
Taxonomy Code 111N00000X
License State Georgia
License Number CHIR001886
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According to our database, Dr. John Randall Boutwell D.C.,B.C.A.O. NPI is 1629115001, taxonomy code is 111N00000X and license number is CHIR001886, license state is located at Georgia. John Randall Boutwell D.C.,B.C.A.O. physically located at 3665 Wheeler Rd, Augusta GA, 30909-6603. NPI Number John Randall Boutwell D.C.,B.C.A.O. has the Individual type.

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1629115001 NPI number is provided on an as is basis without warranty of any kind. 1629115001 is maintained by the National Plan & Provider Enumeration System. The contents of John Randall Boutwell D.C.,B.C.A.O. are for informational purposes only.