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1710078423
PENNY D BOOTH
TIFTON, GA
NPI
1710078423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN202921)
Enumeration Date
2006-09-27
Last Update Date
2021-03-30
Business Address
PENNY D BOOTH CFNP
901 18TH ST E
TIFTON, GA 31794-3648
Phone number: 229-382-7120
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Mailing Address
PENNY D BOOTH CFNP
907 18TH ST E STE 400
TIFTON, GA 31794-3684
Phone number: 229-353-3422
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