John Randall Boutwell in Augusta - Chiropractor
John Randall Boutwell - NPI 1629115001
John Randall Boutwell is a Chiropractor in Augusta, Georgia. John Randall Boutwell practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for John Randall Boutwell is 1629115001. The last update date is 2015-02-23.
John Randall Boutwell's current location address is 3665 Wheeler Rd, Augusta, Georgia. You can contact this provider via phone number 7068608717 and fax number 7068601341. The mailing address for John Randall Boutwell is 3665 Wheeler Rd, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Randall Boutwell |
|---|---|
| Address | 3665 Wheeler Rd, Augusta, Georgia |
| Phone Number | 7068608717 |
| Fax Number | 7068601341 |
| Sole Proprietor | N |
| Credentials | D.C.,B.C.A |
NPI Number Detail
| NPI Number | 1629115001 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2015-02-23 |
Provider Mailing Address Detail
| Address | 3665 Wheeler Rd |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309096603 |
| Phone Number | 7068608717 |
| Fax Number | 7068601341 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CHIR001886 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 35ZCFLN | GA | PTAN |
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What is the unique 10-digit identification code issued to John Randall Boutwell by the Centers for Medicare & Medicaid Services?
The John Randall Boutwell has been assigned the NPI (National Provider Identifier) 1629115001 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where John Randall Boutwell's facilities are geographically located?
The facilities of John Randall Boutwell are physically situated at the following location: 3665 Wheeler Rd, Augusta, GA, 309096603.
What is John Randall Boutwell's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John Randall Boutwell is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
When did John Randall Boutwell receive its 1629115001 assignment?
The John Randall Boutwell was assigned its 1629115001 on 2007-02-01, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to John Randall Boutwell most recently updated or revised?
The details related to John Randall Boutwell, including its address, specialty, and other relevant information, were last updated or revised on 2015-02-23.
NPI Number: 1518960137
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