Individual
ANGELA L BOOKOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
068485
GA
207N00000X
Dermatology Physician
Primary
6000
TN
207ND0101X
MOHS-Micrographic Surgery Physician
068485
GA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
DO.1341
AL
Other
Enumeration date
09/08/2009
Last updated
07/17/2026
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