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Individual

CAROLINE M BOOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-5206
(434) 924-2500
(434) 243-9240
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
0024175041
VA
207V00000X
Obstetrics & Gynecology Physician
0024185041
VA
367A00000X
Advanced Practice Midwife
Primary
0024185041
VA
367A00000X
Advanced Practice Midwife
162874
AK

Other

Enumeration date
08/19/2020
Last updated
05/10/2023
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