Individual
WILLIAM C. BOOTH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-4762
Mailing address
863 LAURELWOOD DR, BILOXI, MS 39532-4249
(228) 388-6593
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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