William C. Booth JR., PA-C

NPI #1104841113 in Biloxi, Mississippi

Provider Information

NPI Number: 1104841113
Entity Type: Individual
Name: William C. Booth JR., PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 400 VETERANS AVE
City: Biloxi
State: Mississippi
ZIP Code: 39531-2410
Phone: (228) 523-4762

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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