Doctor Name: | DR. JAMES BOOTHE |
NPI Number: | 1356355655 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M. D. |
License Number: | 08980 |
Business Practice Address: | 215 Marion Ave Mccomb, MS - 396482705 |
Business Phone Number: | 6019362194 |
Business Fax Number: | |
Mailing Address: | P.o. Box 55589, JACKSON |
State: | MS |
Postal Code: | 392160000 |
Phone Number: | 6019362194 |
Fax Number: | |
NPI Enumeration Date: | 07/29/2006 |
NPI Last Update Date: | 08/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 08980 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |