Teresa Boutwell, CST
Teresa Boutwell, CST is a Medical Physician Assistant in Oxford, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2006
Practice location Address checks out
70 Ashford DrOxford, GA 30054-4648
Phone: (770) 985-4257
Fax: (770) 985-4258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 91956 (GA) |
|---|
Record details
| NPI number | 1669543203 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CST |
| Sole proprietor | Yes |
| NPI enumerated | November 13, 2006 |
| Last updated in NPPES | July 8, 2007 |