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Search › Georgia › 363A00000X

Berta Booth, PA

NPI 1609183805 · on the registry since 2010

Practice

Address
6572 River Park Dr Ste 101
Riverdale, GA 30274
Phone
(770) 996-6699
Fax
(770) 692-2669
Organisation at this address
Sleepmed Inc.
Ideal Medclinic Inc
Precise Toxicology Solutions
Med South Associates Pc 2 Llc
Southside Psychiatric Consultants Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-11-23

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