Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALLORY A. BOOTH, PA-C
ActiveMALLORY A. BOOTH, PA-C is a Medical Physician Assistant healthcare provider located in MACON, Georgia. NPI 1073960118 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · MACON, GA
Registration Details
- NPI Number
- 1073960118
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 18, 2016 (10.255894190153 yrs)
- Last Updated
- Jan 18, 2022
- License
-
10676 (GA)
Practice Information
- Address
-
800 1ST ST STE 410MACON, GA, 312018306Browse GA providers · Browse ZIP 31201
- Phone
- 4787437068
- Fax
- 4787411354
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in MACON, GA
| Name | Credential | NPI |
|---|---|---|
| MR. RALLIE D COGBURN SR. | PA | 1548265549 |
| CHRISTINE HARRELL | PA | 1295732576 |
| DEBRA S KIME | PA | 1114982709 |
| GRETCHEN D SUK | P.A. | 1982648200 |
| JOHN H SINK II | PA-C, CDE | 1215961230 |
| MR. GLEN A MEGRAN | PA-C | 1659487007 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.