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1073960118
MALLORY A. BOOTH
MACON, GA
NPI
1073960118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 10676)
Enumeration Date
2016-05-18
Last Update Date
2022-01-18
Business Address
MALLORY A. BOOTH PA-C
800 1ST ST STE 410
MACON, GA 31201-8306
Phone number: 478-743-7068
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Mailing Address
MALLORY A. BOOTH PA-C
800 1ST ST STE 410
MACON, GA 31201-8306
Phone number: 478-743-7068
Copy
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