Jacqueline Booth
Otolaryngologist (ENT Doctor)
1120 15th St
Augusta
, Georgia 30912
Jacqueline Booth
Otolaryngologist (ENT Doctor)
1120 15th St
Augusta
, Georgia 30912
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Jacqueline Booth
- 1120 15th St
- Augusta, GA
- Zip : 30912-0004
- Phone :
Second Address
- Jacqueline Booth
- 1120 15th St
- Augusta, GA
- Zip : 30912
- Phone : (928) 460-3992
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 009101 | GA |
National Provider Identifier
| NPI | 1083143671 |
|---|---|
| Provider Name | Jacqueline Booth |
| First Address | Augusta, GA 30912-0004 |
| Second Address | Augusta, GA 30912 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/06/2017 |
| Last Update Date | 07/06/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.