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Individual
DR. JASON ADRIAN BOOTHE
Active
Individual
DR. JASON ADRIAN BOOTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2016-00166
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
2016-00166
NC
207QS1201X
Sleep Medicine (Family Medicine) Physician
2016-00166
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193050
RTL RESIDENT TRAINING LICENSE NUMBER
NC
01
—
2016-00166
NORTH CAROLINA MEDICAL BOARD
NC
Enumeration date
05/16/2013
Last updated
06/10/2026
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