Dr. John Randall Boutwell is a Augusta, Georgia based male chiropractor who is specialized as General Chiropractor. He completed his graduation from Other in . He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. John Randall Boutwell as General Chiropractor is CHIR001886 in Georgia. Dr. John Randall Boutwell is qualified as 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 interrelationship with other body systems.
Complete Profile:
Dr. John Randall Boutwell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.,B.C.A.O.
Medical School Attended:
Other
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
3665 Wheeler Rd, Suite 2a, Augusta, Georgia, 30909-6603
Phone:
706-860-8717
Fax:
706-860-1341
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
0143202127
Enrollment ID:
I20130318000346
NPI Number:
1629115001
NPI Enumeration Date:
01 Feb, 2007
NPI Last Update On:
23 Feb, 2015
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. John Randall Boutwell are as mentioned below.
License Number
Specialization
State
Status
CHIR001886
Chiropractor
Georgia
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. John Randall Boutwell is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Boutwell Chiropractic Group Pc (7618959693)
4
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. John Randall Boutwell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
35ZCFLN
Other
Georgia
PTAN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3665 Wheeler Rd, Suite 2a Augusta, Georgia
Zip:
30909-6603
Phone Number:
706-860-8717
Fax Number:
706-860-1341
Patients can reach Dr. John Randall Boutwell at 3665 Wheeler Rd, Suite 2a, Augusta, Georgia or can call to book an appointment on 706-860-8717. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.