Individual
MRS. ELIZABETH N. BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
4519 CYPRESS BUSINESS PARK DR, MOBILE, AL 36619-9550
(251) 602-0745
(251) 602-8641
Mailing address
4519 CYPRESS BUSINESS PARK DR, MOBILE, AL 36619-9550
(251) 602-0745
(251) 602-8641
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTH3967
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J486
MEDICARE GROUP
AL
Enumeration date
05/20/2006
Last updated
02/14/2008
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