Individual
AHMAD BOOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 SAINT FRANCIS DR, SUITE 300, GREENVILLE, SC 29601-3971
(864) 233-8063
Mailing address
3 SAINT FRANCIS DR, SUITE 300, GREENVILLE, SC 29601-3971
(864) 233-8063
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
18955
SC
Other
Enumeration date
09/25/2006
Last updated
12/07/2007
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