Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boutiquegyn Wellness Center

Organization Gynecology Physician · NPI 1457187742

Boutiquegyn Wellness Center is a Gynecology Physician in Brookhaven, Georgia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2970 Clairmont Rd NE
Brookhaven, GA 30329-1638
Phone: (713) 878-7102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X

Record details

NPI number1457187742
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fonda Martin — Ceo/Founder · (713) 878-7102
NPI enumeratedSeptember 12, 2024
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024
Mailing address530 Semira St Sw, Atlanta, GA 30331-8378

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