Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MATTHEW R BOOTHBY
ActiveMR. MATTHEW R BOOTHBY is a Surgical Physician Assistant healthcare provider located in BRUNSWICK, Georgia. NPI 1871828897 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · BRUNSWICK, GA
Registration Details
- NPI Number
- 1871828897
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 8, 2009 (16.864569330707 yrs)
- Last Updated
- May 1, 2015
- License
-
005660 (GA)
Practice Information
- Address
-
1111 GLYNCO PKWY STE 300BRUNSWICK, GA, 315257933Browse GA providers · Browse ZIP 31525
- Phone
- 9122626552
- Fax
- 9122626599
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in BRUNSWICK, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. ELIZABETH BLAIR | PA-C | 1619344223 |
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.