Individual
MRS. KAREN MEISENBACH BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2605 BLUE RIDGE RD, SUITE 300, RALEIGH, NC 27607
(919) 787-3448
(919) 232-0006
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442
(984) 215-4110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001000196
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89013NA
—
NC
Enumeration date
10/16/2006
Last updated
05/06/2021
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