|Active||Over 4 years ago|
|1369A GEORGE WALLACE HWY
RUSSELLVILLE AL, 35654-3281, US
|309 FULTON ST
MUSCLE SHOALS AL, 35661-3669, US
|Remove 1043553357 NPI Number|
According to our database, Mr. Thaddeus Jason Boughton ANP-BC NPI is 1043553357, taxonomy code is 363LA2200X and license number is 1139488, license state is located at Alabama. Thaddeus Jason Boughton ANP-BC physically located at 1369a George Wallace Hwy, Russellville AL, 35654-3281. NPI Number Thaddeus Jason Boughton ANP-BC has the Individual type.
1043553357 NPI number is provided on an as is basis without warranty of any kind. 1043553357 is maintained by the National Plan & Provider Enumeration System. The contents of Thaddeus Jason Boughton ANP-BC are for informational purposes only.