MISTI DAWN BOOHER

COLUMBIA, SC
NPI1992572556
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies363A00000X Physician Assistant
(Licence: SC  5167)
Enumeration Date2023-12-05
Last Update Date2024-11-01
Business Address
MISTI DAWN BOOHER PA
100 JIMMY LOVE LN
COLUMBIA, SC 29212-3159
Phone number: 803-772-5030
Mailing Address
MISTI DAWN BOOHER PA
213 WINCHESTER CT
WEST COLUMBIA, SC 29170-1061
Phone number: 423-483-1147
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