Mallory A. Booth, PA-C is a medical physician assistant in Macon, GA with 10 years of experience. Mallory A. Booth, PA-C NPI is 1073960118. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
800 1ST ST STE 410
MACON, GA
ZIP 31201-306
Phone: (478) 743-7068
Fax: (478) 741-1354
The NPI 1073960118 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/18/2016 and was last updated on 1/18/2022.