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DR. JULIA LETT BOOTHE M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1255397824

Individual Registrant:
DR. JULIA LETT BOOTHE M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
108 4TH AVE SW  REFORM, AL 35481-8018 US
Tel: 205-375-6251  Fax: 205-375-9064

Contact information for business:
PO BOX 1000  REFORM, AL 35481-1000 US
Tel: 205-337-5625  Fax: 205-375-9064

Registration Information:
NPI: 1255397824
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
AL00025469

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
163383AL05




HEALTH CARE JOBS AL - Page 1



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