Boutwell, Teresa
Boutwell, Teresa is an sole proprietor health care provider with primary practice located at 70 Ashford Dr , Oxford GA 30054-4648. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Boutwell, Teresa can be contacted via phone (770) 985-4257.Contact Information
Primary practice address
70 Ashford Dr
Oxford GA 30054-4648
Phone: (770) 985-4257
Fax: (770) 985-4258
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 91956 | Georgia |
Profile Details
| NPI number | 1669543203 |
|---|---|
| LBN Legal business name | Boutwell, Teresa |
| Credentials | Certified Surgical Technologist (CST) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
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