Organization
BOUTWELL CHIROPRACTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER BERT BOUTWELL DC (OWNER)
(706) 566-6996
Entity
Organization
Contact information
Practice address
3434 UNIVERSITY AVE., COLUMBUS, GA 31907
(706) 569-6997
(706) 569-8898
Mailing address
3434 UNIVERSITY AVE., COLUMBUS, GA 31907
(706) 569-6997
(706) 569-8898
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR001984
GA
Other
Enumeration date
08/23/2008
Last updated
11/19/2008
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