Berta E Booth PA

  • NPI 1609183805
According to our database, the NPI number for Berta E Booth PA is 1609183805 and activated since 13 years ago. Berta E Booth PA is an individual provider who specializes in Physician Assistant, and the primary practice location is 6572 River Park Dr Ste 101, Riverdale, GA 30274. You can also contact Berta E Booth PA via telephone number is (770) 996-6699. Provider NPI information was last updated on 11/23/2015.

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Overview of Berta E Booth PA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 09/09/2010
  • Last updated: 11/23/2015

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 005897
  • License State: GA

Provider Mailing Address

  • Address: 119 Ambulance Dr 202
    Carrollton, GA 30117
  • Phone: 770-838-8710
  • Fax:

Provider Practice Location

  • Address: 6572 River Park Dr Ste 101
    Riverdale, GA 30274
  • Phone: 770-996-6699
  • Fax: 770-692-2669

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 005897
  • License State: GA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 005897
  • Identifier Type: Other
  • Identifier State: GA
  • Issuer: GEORGIA MEDICAL LICENSE

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Berta E Booth PA?
  • A: The npi number for Berta E Booth PA is 1609183805.
  • Q: What are Berta E Booth PA's specialties?
  • A: Berta E Booth PA's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Berta E Booth PA?
  • A: The medical license number for Berta E Booth PA is 005897 and issued in GA in USA.
  • Q: Where is Berta E Booth PA practice location?
  • A: Berta E Booth PA is practicing at 6572 River Park Dr Ste 101, Riverdale, GA 30274.
  • Q: How to contact Berta E Booth PA?
  • A: You can contact Berta E Booth PA via 770-996-6699.