Search › Georgia › 363LF0000X
Deliah Provost-Boothe
NPI 1891619631 · on the registry since 2026 · sole proprietor
Practice
- Address
- 250 Shiver Blvd
Covington, GA 30016 - Phone
- (678) 237-6470
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-05
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