Boutwell, Mark T.
Boutwell, Mark T. is an sole proprietor health care provider with primary practice located at 12 Jefferson Pkwy , Newnan GA 30263-5812. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Boutwell, Mark T. can be contacted via phone (770) 251-3408.Contact Information
Primary practice address
12 Jefferson Pkwy
Newnan GA 30263-5812
Phone: (770) 251-3408
Fax: (770) 251-3409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIR001651 | Georgia |
Profile Details
| NPI number | 1730277682 |
|---|---|
| LBN Legal business name | Boutwell, Mark T. |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Bracco, Julia Ann
1635 Highway 34 E Ste D , Newnan GA 30265-2173 -
Shields, Sharon Diane
35 Jackson St , Newnan GA 30263-1945 -
Vandine, Mark Wayne
27 Bullsboro Dr , Newnan GA 30263-1570 -
Truong, Tuan C
197 Jefferson Pkwy , Newnan GA 30263-5823 -
Turner, Sandra Lucille
55 Roscoe Rd , Newnan GA 30263-1148 -
Davis, Ralph D
29 Millard Farmer Ind Blvd Suite A1, Newnan GA 30263-5821 -
Bailey, Jason Aaron
35 Jackson St , Newnan GA 30263-1945 -
Elliott, William Kerry
34 Greenville St , Newnan GA 30263-2602