Individual provider · Type 1 NPI

Mallory A. Booth, PA-C

Medical Physician Assistant · Tuscaloosa, AL

NPI number 1073960118 Active

Practice location

1050 Ruby Tyler Pkwy
Tuscaloosa, AL 35404-2958

Call (478) 743-7068 Map

Fax (478) 741-1354

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X10676 (GA)

Medical Physician Assistant: Definition to come...

10 other providers at this address

Other medical physician assistant providers in Tuscaloosa

See all in Tuscaloosa →

About NPI 1073960118

Mallory A. Booth, PA-C's National Provider Identifier is 1073960118, issued on May 18, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tuscaloosa, AL. The record was last updated on Jun 14, 2026.