William C. Booth Jr., PA-C
Physician Assistant in Biloxi, MS. Individual provider (NPI-1).
NPI number1104841113
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104841113
- Entity type
- Individual (NPI-1)
- Name
- William C. Booth Jr.
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
400 Veterans AveBiloxi, MS 39531-2410
Phone 228-523-4762
Mailing address
863 Laurelwood DrBiloxi, MS 39532-4249
Phone 228-388-6593
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All 18 Physician Assistant providers in Biloxi · All 1,856 providers in Biloxi
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