Individual provider · Type 1 NPI

Caleb Booth, PA

Medical Physician Assistant · Charlottesville, VA

NPI number 1962947507 Active

Practice location

1215 Lee St
Charlottesville, VA 22908-0816

Call (434) 924-9400 Map

Fax (434) 982-1618

Mailing address

PO Box 749112
Atlanta, GA 30374-9112

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0110006158 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1962947507

Caleb Booth, PA's National Provider Identifier is 1962947507, issued on Jan 5, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Charlottesville, VA. The record was last updated on Sep 19, 2026.