Individual
JUSTIN THOMAS BOOHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2544 COURT DR STE G, GASTONIA, NC 28054-3450
(704) 854-9990
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-15197
NC
Other
Enumeration date
09/20/2023
Last updated
04/16/2025
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