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Contact Information

GEORGE A BOOTHE, CRNP
4770 WOODMERE BLVD STE B
MONTGOMERY, AL36106-3084
 Phone: 334-272-1050
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for GEORGE A BOOTHE · (Male)

NPI # 1134568967
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 06/14/2013
Last updated 06/14/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 1-109113
Hospital affiliation(s)
  • BAPTIST MEDICAL CENTER SOUTH - (Acute Care)
    2105 EAST SOUTH BOULEVARD
    MONTGOMERY, AL 36116
  • PRATTVILLE BAPTIST HOSPITAL - (Acute Care)
    124 S MEMORIAL DR
    PRATTVILLE, AL 36067
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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