Justin Mark Booth, AA

Anesthesiologist Assistant · Valdosta, GA

Individual Active NPI

NPI number 1306090675

Practice location

2310 N Patterson St
Bldg C
Valdosta, GA 31602-2568
Phone
(229) 244-6852
Fax
(229) 242-2385

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NPI record

NPI
1306090675
Entity type
Individual (Type 1)
Enumeration date
November 12, 2008
Last updated
November 12, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Anesthesiologist Assistant Primary 367H00000X 005470 GA

About Justin Booth

Justin Mark Booth, AA is a healthcare provider registered in the NPI registry with the primary taxonomy Anesthesiologist Assistant (code 367H00000X). The practice location is 2310 N Patterson St, Bldg C, Valdosta, GA 31602-2568. The NPI number 1306090675 was assigned on November 12, 2008 and the record was last updated on November 12, 2008.

Justin Booth lists a license in the registry: #005470 (GA) for Anesthesiologist Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Justin Mark Booth, AA?

The NPI number is 1306090675.

What is the phone number of Justin Booth?

The phone number listed for the practice location is (229) 244-6852.

Where is Justin Booth located?

2310 N Patterson St, Bldg C, Valdosta, GA 31602-2568.

What is the taxonomy code for Justin Booth?

The primary taxonomy code is 367H00000X – Anesthesiologist Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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