Individual provider · Type 1 NPI
Matthew R. Boothby
Surgical Physician Assistant · Brunswick, GA
NPI number
1871828897
Active
Practice location
1111 Glynco Pkwy Ste 300
Brunswick, GA 31525-7933
Fax (912) 262-6599
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 005660 (GA) |
Surgical Physician Assistant: Definition to come...
3 other providers at this address
Other surgical physician assistant providers in Brunswick
About NPI 1871828897
Matthew R. Boothby's National Provider Identifier is 1871828897, issued on Oct 8, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Brunswick, GA. The record was last updated on May 1, 2015.