Justin Mark Booth, AA

NPI #1306090675 in Valdosta, Georgia

Provider Information

NPI Number
1306090675
Entity Type
Individual
Name
Justin Mark Booth, AA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Anesthesiologist Assistant
Credential
AA
Enumeration Date
Nov 12, 2008
Last Updated
Nov 12, 2008

Practice Location

Address
2310 N PATTERSON ST
Address 2
BLDG C
State
Georgia
ZIP Code
31602-2568
Phone
(229) 244-6852

Specialties & Taxonomy Codes

Specialty
Anesthesiologist Assistant

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