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Individual

JACQUELINE RENEE BOOTH

Active
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Individual

JACQUELINE RENEE BOOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
009101
GA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
74273
TN

Other

Enumeration date
06/07/2017
Last updated
08/22/2025
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