BERTA E BOOTH

RIVERDALE, GA
NPI1609183805
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  005897)
Enumeration Date2010-09-09
Last Update Date2015-11-23
Business Address
-- BERTA E BOOTH PA
6572 RIVER PARK DR STE 101
RIVERDALE, GA 30274-2214
Phone number: 770-996-6699
Mailing Address
-- BERTA E BOOTH PA
119 AMBULANCE DR 202
CARROLLTON, GA 30117-3857
Phone number: 770-838-8710
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