Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WINDELL C DAVIS-BOUTTE, M.D.
Active Sole ProprietorDermatology · LILBURN, GA
Registration Details
- NPI Number
- 1669409298
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 27, 2006 (19.819191663337 yrs)
- Last Updated
- Jul 8, 2007
- License
-
039318 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4650 STONE MOUNTAIN GALILBURN, GA, 30047Browse GA providers · Browse ZIP 30047
- Phone
- 7709384001
- Fax
- 7709384849
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in LILBURN, GA
| Name | Credential | NPI |
|---|---|---|
| PAULA M. NELSON | M.D. | 1356333645 |
| FELICITY M. WARREN | M.D. | 1295727527 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.