person
Mallory A. Booth, PA-C
Medical Physician Assistant in Macon, Georgia
NPI 1073960118

Mallory A. Booth is a Medical Physician Assistant based in Macon, GA and is specialized in Medical. Mallory A. Booth practices in Macon, GA and has the professional credentials of PA-C. The NPI Number for Mallory A. Booth is 1073960118 and holds a License No. 10676 (Georgia).

The current practice location address for Mallory A. Booth is 800 1St St Ste 410, Macon, GA and can be reached out via phone at 478-743-7068 and via fax at 478-741-1354.

Location: 800 1St St Ste 410, Macon, GA, 31201-8306
person
Provider Profile Details
NPI Number
1073960118
Provider Name
Mallory A. Booth
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
800 1St St Ste 410, Macon, GA, 31201-8306
Phone Number
478-743-7068
Fax Number
478-741-1354
Provider Enumeration Date
05/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
800 1St St Ste 410
City
State
Zip
31201-8306
Phone Number
478-743-7068
Fax Number
478-741-1354
person
Provider Business Mailing Address Details
Address
800 1St St Ste 410
City
State
Zip
31201-8306
Phone Number
478-743-7068
Fax Number
478-741-1354
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
10676 (Georgia)
Definition
Definition to come...
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