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TERESA BOUTWELL CST
NPI 1669543203
Physician Assistant - Medical in Oxford, GA

Active since November 13, 2006
70 ASHFORD DR, OXFORD, GA 30054(770) 985-4257(770) 985-4258 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Teresa Boutwell Cst NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERESA BOUTWELL CST (NPI 1669543203) is an individual medical provider in Oxford, Georgia, licensed in Georgia (91956) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1669543203
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTERESA BOUTWELLCredential: CST
Location Address70 ASHFORD DROxford, GA 30054-4648
Mailing AddressPo Box 1938Conyers, GA 30012-7291 · (770) 985-4257 · Fax (770) 985-4258
Phone(770) 985-4257
Fax(770) 985-4258
Sole ProprietorYes
Enumeration DateNovember 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1669543203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 91956
70 ASHFORD DR, Oxford, GA 30054
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EAST METRO SURGICAL ASSISTING
Physician Assistant (Surgical)
70 ASHFORD DR
OXFORD, GA 30054
Newton County (770) 985-4257

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teresa Boutwell's NPI number?

The NPI number for Teresa Boutwell is 1669543203. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Teresa Boutwell located?

Teresa Boutwell practices at 70 Ashford Dr, Oxford, GA 30054. The listed phone number is (770) 985-4257.

What is Teresa Boutwell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Teresa Boutwell was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.