Mary Barron Booth, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

MT001398 Issued in GA

Practice address

1640 Powers Ferry Rd
Building 15, Suite 100
Marietta, GA 30067-5491

Phone

(770) 722-9595

Fax

(770) 446-9532

NPI assigned

Mar 5, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Mary Barron Booth Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1982874939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 458",
            "city": "RENTZ",
            "state": "GA",
            "postal_code": "310750458",
            "telephone_number": "770-722-9595",
            "fax_number": "478-984-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 POWERS FERRY RD",
            "address_2": "BUILDING 15, SUITE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675491",
            "telephone_number": "770-722-9595",
            "fax_number": "770-446-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "MARY",
        "middle_name": "BARRON",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "MT001398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BOOTH",
            "middle_name": "BARRON",
            "prefix": "MRS.",
            "credential": "LMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tyler Bontrager, MD
• Karla L Booker, MD
• Breanna Boone
• Shannon Boone, PH.D.
• Nola Grace Boortz
• Allison Lindsay Boozer, DVM. DIPLOMATE,ACVIM
• Taylor Michelle Bordelon, DC
• Haniyyah Monique-Harriet Borders
• Kristin Michelle Boren, M.D.
• Howard E Borger, MD

• Specialist in Marietta, GA
• Providers in Marietta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.