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Teresa Boutwell, CST
NPI 1669543203 · on the registry since 2006 · sole proprietor
Practice
- Address
- 70 Ashford Dr
Oxford, GA 30054 - Phone
- (770) 985-4257
- Fax
- (770) 985-4258
- Organisation at this address
- East Metro Surgical Assisting
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia