Individual
EMMA CAROLINE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
600 WISTERIA KEY PL, CHAPIN, SC 29036-8666
(803) 318-1381
Mailing address
600 WISTERIA KEY PL, CHAPIN, SC 29036-8666
(803) 318-1381
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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