MARK T. BOUTWELL

NEWNAN, GA
NPI1730277682
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: GA  CHIR001651)
Enumeration Date2006-10-10
Last Update Date2007-07-08
Business Address
MARK T. BOUTWELL D.C.
12 JEFFERSON PKWY
NEWNAN, GA 30263-5812
Phone number: 770-251-3408
Mailing Address
MARK T. BOUTWELL D.C.
12 JEFFERSON PKWY
NEWNAN, GA 30263-5812
Phone number: 770-251-3408
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