Individual
ASHLIE ALEXANDER BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 TOWNE CENTER BLVD STE 604A, POOLER, GA 31322-4052
(912) 450-4450
Mailing address
1208 E 38TH ST, SAVANNAH, GA 31404-3321
(912) 604-9034
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
T2903
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05903095
—
MS
Enumeration date
11/11/2009
Last updated
03/29/2019
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