TERESA BOUTWELL (CST) – Medical Physician Assistant, NPI 1669543203
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TERESA BOUTWELL (CST)
70 ASHFORD DR
OXFORD, GA 300544648
Phone: (770) 985-4257
Fax: (770) 985-4258
Type: Location
Conyers Post Office, Green Street Southeast, Conyers, Rockdale County, Georgia, 30012, United States
CONYERS, GA 300127291
Phone: (770) 985-4257
Fax: (770) 985-4258
Type: Mailing
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)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30054)
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