Search › Georgia › 172V00000X
Wilhelmus Booth
NPI 1588419022 · on the registry since 2024 · sole proprietor
Practice
- Address
- 14 Red Hill Church Rd
Richland, GA 31825 - Phone
- (229) 887-3609
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia