Provider Demographics
NPI:1790844256
Name:BOOTH, CHRISTINE DENNETT (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:DENNETT
Last Name:BOOTH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 40908
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28309-0908
Mailing Address - Country:US
Mailing Address - Phone:910-615-3500
Mailing Address - Fax:910-615-3560
Practice Address - Street 1:1341 WALTER REED RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-4415
Practice Address - Country:US
Practice Address - Phone:910-615-3500
Practice Address - Fax:910-615-3560
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2014-02-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101233474207V00000X
NC2008-01987207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology