Individual
MR. WILHELMUS ANDRE BOOTH II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 RED HILL CHURCH RD, RICHLAND, GA 31825-7514
(229) 887-3609
Mailing address
2100 COMER AVE, COLUMBUS, GA 31904-8725
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
GA
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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