Individual
DR. WINDELL C DAVIS-BOUTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4650 STONE MOUNTAIN GA, LILBURN, GA 30047
(770) 938-4001
(770) 938-4849
Mailing address
2165 SPENCERS WAY, STONE MOUNTAIN, GA 30087-1246
(770) 938-4001
(770) 938-4849
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
039318
GA
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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