Individual
DR. ROGER BERT BOUTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3434 UNIVERSITY AVE, COLUMBUS, GA 31907
(706) 569-6996
(706) 569-8898
Mailing address
3434 UNIVERSITY AVE, COLUMBUS, GA 31907
(706) 569-6996
(706) 569-8898
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01984
GA
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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