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Individual

JAMES A BOUTSELIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
150 GENTILLY BLVD, CARTERSVILLE, GA 30120-8522
(770) 276-7245
(770) 276-7246
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(706) 295-5331

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001535
GA

Other

Enumeration date
01/16/2006
Last updated
07/21/2022
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