Individual
MRS. MARY BARRON BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1640 POWERS FERRY RD, BUILDING 15, SUITE 100, MARIETTA, GA 30067-5491
(770) 722-9595
(770) 446-9532
Mailing address
PO BOX 458, RENTZ, GA 31075-0458
(770) 722-9595
(478) 984-5786
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT001398
GA
Other
Enumeration date
03/05/2008
Last updated
11/07/2016
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