Individual provider · Type 1 NPI

Sampson Ray Booth, PA-C

Physician Assistant · Bolivia, NC

NPI number 1306721808 Active

Practice location

4311 Old Ocean Hwy
Bolivia, NC 28422-8637

Call (877) 935-5255 Map

Mailing address

4105 Ramseur Julian Rd
Liberty, NC 27298-8606

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	None listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1306721808

Sampson Ray Booth, PA-C's National Provider Identifier is 1306721808, issued on Aug 6, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bolivia, NC. The record was last updated on Aug 6, 2025.