Doctor Name: | DR. GREG MARK BOOTH |
NPI Number: | 1063674174 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD PHD |
License Number: | 002299 |
Business Practice Address: | 1364 Clifton Rd Ne Wmb 312 Atlanta, GA - 303221059 |
Business Phone Number: | 4047125499 |
Business Fax Number: | |
Mailing Address: | 1270 W Peachtree St Nw, 10g ATLANTA |
State: | GA |
Postal Code: | 303093451 |
Phone Number: | 3053015132 |
Fax Number: | |
NPI Enumeration Date: | 06/30/2008 |
NPI Last Update Date: | 06/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 002299 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |