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MARK T. BOUTWELL D.C.
NPI 1730277682
Chiropractor in Newnan, GA

Active since October 10, 2006
12 JEFFERSON PKWY, NEWNAN, GA 30263(770) 251-3408(770) 251-3409 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark T. Boutwell D.c. NPPES

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

MARK T. BOUTWELL D.C. (NPI 1730277682) is an individual chiropractor in Newnan, Georgia, licensed in Georgia (CHIR001651) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1730277682
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMARK T. BOUTWELLCredential: D.C.
Location Address12 JEFFERSON PKWYNewnan, GA 30263-5812
Mailing Address12 Jefferson PkwyNewnan, GA 30263-5812 · (770) 251-3408 · Fax (770) 251-3409
Phone(770) 251-3408
Fax(770) 251-3409
Sole ProprietorYes
Enumeration DateOctober 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1730277682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · CHIR001651
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 interrelationship with other body systems.
12 JEFFERSON PKWY, Newnan, GA 30263
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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.

MASHELLE ANNETTE PEARSON
Massage Therapist
12 JEFFERSON PKWY
NEWNAN, GA 30263
Coweta County (678) 552-8495

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 Mark Boutwell's NPI number?

The NPI number for Mark Boutwell is 1730277682. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Mark Boutwell located?

Mark Boutwell practices at 12 Jefferson Pkwy, Newnan, GA 30263. The listed phone number is (770) 251-3408.

What is Mark Boutwell's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Mark Boutwell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.