Individual
GEORGE AUSTIN BOOTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
4770 WOODMERE BLVD STE B, MONTGOMERY, AL 36106-3084
(334) 272-1050
Mailing address
4770 WOODMERE BLVD STE B, MONTGOMERY, AL 36106-3084
(334) 272-1050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-109113
AL
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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