Individual
MISTI DAWN BOOHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
321 S LAKE DR, LEXINGTON, SC 29072-3447
(646) 350-3768
(864) 442-6848
Mailing address
PO BOX 1315, EASLEY, SC 29641-1315
(864) 635-0376
(864) 442-6848
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5167
SC
Other
Enumeration date
12/05/2023
Last updated
05/02/2025
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