SearchTennessee183500000X

Michael Booth, RPH

NPI 1760071609 · on the registry since 2021

Practice

Address
1667 Ooltewah Ringgold Rd
Ooltewah, TN 37363
Phone
(423) 893-6275
Organisation at this address
Crossroads Clinic Pllc
K-Va-T Food Stores Inc
Main Street Medical, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-01-14

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 Tennessee