Organization
GLENN H BOOTH MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN H BOOTH MD (OWNER)
(615) 327-0870
Entity
Organization
Contact information
Practice address
2011 CHURCH ST, SUITE 401, NASHVILLE, TN 37203-2000
(615) 327-0870
Mailing address
2011 CHURCH ST, SUITE 401, NASHVILLE, TN 37203-2000
(615) 327-0870
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10421
TN
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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