Stacy B Booth is a Surgical in Mobile, Alabama. Stacy B Booth practices all healthcare services and medical treatments related to Surgical. The NPI Number for Stacy B Booth is 1821002502. The last update date is 2011-02-03.
Stacy B Booth's current location address is 5 Mobile Infirmary Cir, Mobile, Alabama. You can contact this provider via phone number 2514352646 and fax number 2514356478. The mailing address for Stacy B Booth is 5 Mobile Infirmary Cir, Mobile, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy B Booth |
|---|---|
| Address | 5 Mobile Infirmary Cir, Mobile, Alabama |
| Phone Number | 2514352646 |
| Fax Number | 2514356478 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1821002502 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2011-02-03 |
Provider Mailing Address Detail
| Address | 5 Mobile Infirmary Cir |
|---|---|
| City | Mobile |
| State | Alabama (AL) |
| Post Code | 366073513 |
| Phone Number | 2514352646 |
| Fax Number | 2514356478 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA-472 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 510-49995 | AL | BCBS | |
| 113211 | AL | -- | |
| 510-49993 | AL | BCBS | |
| 113213 | AL | -- | |
| 113243 | AL | -- | |
| 510-49994 | AL | BCBS | |
| 113209 | AL | -- | |
| 1821002502 | AL | TRICARE SOUTH | |
| 510-49992 | AL | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Stacy B Booth?
The Stacy B Booth has been issued the NPI (National Provider Identifier) 1821002502 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Stacy B Booth's facilities are situated?
The facilities of Stacy B Booth are physically located at the following address: 5 Mobile Infirmary Cir, Mobile, AL, 366073513.
What is Stacy B Booth's area of expertise and its corresponding taxonomy classification?
The Stacy B Booth's field of specialization is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1821002502 to Stacy B Booth?
The Stacy B Booth received its 1821002502 assignment from the Centers for Medicare & Medicaid Services on 2006-07-28.
As of what date was the information pertaining to Stacy B Booth, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Stacy B Booth, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-02-03.