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ALLISON JOY BOUTWELL PA-C

Individual Provider (NPI-1) Active

Physician Assistant

Provider Information

NPI Number
1649880543
Provider Type
Individual Provider (NPI-1)
Credentials
PA-C
Status
Active

Contact & Location

Address
50 PARKWAY LN STE 10, PETAL, MS, 39465
Phone
(601) 544-7404
Fax
(601) 584-6457

Specialties & Taxonomies

Physician Assistant Primary

All Addresses

LOCATION

50 PARKWAY LN STE 10

PETAL, MS, 39465

(601) 544-7404

MAILING

415 S 28TH AVE

HATTIESBURG, MS, 394017246

(601) 264-6000