Individual
ALEXANDER BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
169 ASHLEY AVE, CHARLESTON, SC 29425-8905
(843) 792-3072
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LL52637
SC
Other
Enumeration date
06/13/2018
Last updated
11/25/2020
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