Boothby, Matthew R
Boothby, Matthew R is an individual health care provider with primary practice located at 1111 Glynco Pkwy Ste 300 , Brunswick GA 31525-7933. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Boothby, Matthew R can be contacted via phone (912) 262-6552.Contact Information
Primary practice address
1111 Glynco Pkwy Ste 300
Brunswick GA 31525-7933
Phone: (912) 262-6552
Fax: (912) 262-6599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 005660 | Georgia |
Profile Details
| NPI number | 1871828897 |
|---|---|
| LBN Legal business name | Boothby, Matthew R |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 8th, 2009 |
| Last updated | May 1st, 2015 - about 10 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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