Robert R Booth, DC | |
5575 Mableton Pkwy Se, Mableton, GA 30126-3301 | |
(770) 944-2304 | |
Not Available |
Full Name | Robert R Booth |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 42 Years |
Location | 5575 Mableton Pkwy Se, Mableton, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760424642 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIR001913 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Provider Name | Wellstar Medical Group, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Robert R Booth, DC 5575 Mableton Pkwy Se, Mableton, GA 30126-3301 Ph: (770) 944-2304 | Robert R Booth, DC 5575 Mableton Pkwy Se, Mableton, GA 30126-3301 Ph: (770) 944-2304 |
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