Bootle, James C

Bootle, James C is an individual health care provider with primary practice located at 3300 Buckeye Rd Ste 178, Atlanta GA 30341-4232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Bootle, James C can be contacted via phone (770) 458-6103.

Contact Information

Primary practice address
3300 Buckeye Rd Ste 178 Atlanta GA 30341-4232
Phone: (770) 458-6103
Fax: (770) 234-0437
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 15732 Georgia

Profile Details

NPI number 1306841143
LBN Legal business name Bootle, James C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jul 8th, 2007 - about 17 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 1306841143 NPPES
Georgia MEDICAID 00190473B

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