JASON ADRIAN BOOTHE

CHARLOTTE, NC
NPI1093151086
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: NC  2016-00166)
Enumeration Date2013-05-16
Last Update Date2023-03-07
Business Address
JASON ADRIAN BOOTHE MD
6324 FAIRVIEW RD STE 201
CHARLOTTE, NC 28210-4278
Phone number: 704-384-0588
Mailing Address
JASON ADRIAN BOOTHE MD
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: 704-384-0588
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