Emma Caroline Booth
Physician Assistant in Chapin, SC. Individual provider (NPI-1).
NPI number1477448561
StatusActive
Last updated in NPPESOct 20, 2026
Details
- NPI
- 1477448561
- Entity type
- Individual (NPI-1)
- Name
- Emma Caroline Booth
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2025
- Certification date
- Oct 20, 2026
- Last updated
- Oct 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 6610 | SC | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
600 Wisteria Key PlChapin, SC 29036-8666
Phone 803-318-1381
Mailing address
600 Wisteria Key PlChapin, SC 29036-8666
Phone 803-318-1381
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