Individual
KHALIL BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-5000
Mailing address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(770) 605-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0000000000
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN-CRNA295587
GA
Other
Enumeration date
07/16/2025
Last updated
02/03/2026
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