THADDEUS JASON BOUGHTON

MUSCLE SHOALS, AL
NPI1043553357
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: AL  1139488)
Enumeration Date2013-04-04
Last Update Date2019-05-09
Business Address
Mr. THADDEUS JASON BOUGHTON ANP-BC
1110 E 6TH STREET SUITE E
MUSCLE SHOALS, AL 35661
Phone number: 256-314-2431
Mailing Address
Mr. THADDEUS JASON BOUGHTON ANP-BC
1110 E 6TH STREET SUITE E
MUSCLE SHOALS, AL 35661-3669
Phone number: 256-314-2431
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