Individual
DR. COLIN DOUGLAS BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9430 PARK WEST BLVD STE 130, KNOXVILLE, TN 37923-4205
(865) 690-4861
(865) 560-8525
Mailing address
PO BOX 306556, NASHVILLE, TN 37230-6556
(865) 694-0062
(865) 694-7907
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
55760
TN
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
55760
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q029240
—
TN
Enumeration date
07/11/2011
Last updated
02/17/2026
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