Individual
JACQUELINE RENEE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 OAK RIDGE TPKE STE C100, OAK RIDGE, TN 37830-6927
(865) 483-2288
(865) 482-4400
Mailing address
800 OAK RIDGE TPKE STE C100, OAK RIDGE, TN 37830-6927
(865) 483-2288
(865) 482-4400
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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