DR. WINDELL C DAVIS-BOUTTE (M.D.) – Dermatology Physician, NPI 1669409298
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2019-02-20. Reason: License revocation, suspension, or surrender.
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. WINDELL C DAVIS-BOUTTE (M.D.)
2165 SPENCERS WAY
STONE MOUNTAIN, GA 300871246
Phone: (770) 938-4001
Fax: (770) 938-4849
Type: Mailing
4650 STONE MOUNTAIN GA
LILBURN, GA 30047
Phone: (770) 938-4001
Fax: (770) 938-4849
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30087)
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