Booker, George Robert

Booker, George Robert is an individual health care provider with primary practice located at 4517 Southlake Pkwy , Birmingham AL 35244-3280. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Booker, George Robert can be contacted via phone (205) 985-4111.

Contact Information

Primary practice address
4517 Southlake Pkwy Birmingham AL 35244-3280
Phone: (205) 985-4111
Fax: (205) 985-4326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD30229 Alabama

Profile Details

NPI number 1760692834
LBN Legal business name Booker, George Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated May 9th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760692834 NPPES
Alabama MEDICAID 119210

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