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Individual

DR. JULIA LETT BOOTHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
108 4TH AVE SW, REFORM, AL 35481-8018
(205) 375-6251
(205) 375-9064
Mailing address
PO BOX 1000, REFORM, AL 35481-1000
(205) 337-5625
(205) 375-9064

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00025469
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
163383
AL
Enumeration date
04/24/2006
Last updated
09/29/2014
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