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Individual
LAURA ASHLEY BOOTH
Active
Individual
LAURA ASHLEY BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PENDING
GA
208000000X
Pediatrics Physician
PENDING
GA
208M00000X
Hospitalist Physician
Primary
078718
GA
Other
Enumeration date
11/11/2009
Last updated
01/24/2020
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