Individual
MR. MATTHEW R BOOTHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 GLYNCO PKWY STE 300, BRUNSWICK, GA 31525-7933
(912) 262-6552
(912) 262-6599
Mailing address
1111 GLYNCO PKWY STE 300, BRUNSWICK, GA 31525-7933
(912) 262-6552
(912) 262-6599
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
005660
GA
Other
Enumeration date
10/08/2009
Last updated
05/01/2015
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