Organization
PICKENS COUNTY PRIMARY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIA L BOOTHE MD (OWNER)
(205) 792-6701
Entity
Organization
Contact information
Practice address
108 4TH AVE SW STE A, REFORM, AL 35481-8018
(205) 375-6251
(205) 375-9064
Mailing address
108 4TH AVE SW STE A, REFORM, AL 35481-8018
(205) 375-6251
(205) 375-9064
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162102
—
AL
Enumeration date
01/30/2014
Last updated
03/14/2025
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