Individual provider · Type 1 NPI

Alexander Tyler Booth, MD

Colon & Rectal Surgery Physician · Charleston, SC

NPI number 1790389112 Active · reactivated Nov 25, 2020

Practice location

30 Courtenay Drive Msc 295
Charleston, SC 29425-0001

Mailing address

PO Box 751461
Charlotte, NC 28275-1461

Specialties and licenses

TaxonomyCodeLicense
Colon & Rectal Surgery Physician Primary 208C00000XMD98051 (SC)
Surgery Physician 208600000XMD98051 (SC)

Colon & Rectal Surgery Physician: A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

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About NPI 1790389112

Alexander Tyler Booth, MD's National Provider Identifier is 1790389112, issued on Jun 13, 2018. The primary taxonomy on file is Colon & Rectal Surgery Physician (208C00000X), and the practice location is in Charleston, SC. The record was last updated on Sep 1, 2026.