Provider Demographics
NPI:1922268978
Name:BOOSE, MICHELLE DELORES (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:DELORES
Last Name:BOOSE
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:123 HENDERSONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2868
Mailing Address - Country:US
Mailing Address - Phone:828-257-4730
Mailing Address - Fax:828-232-2942
Practice Address - Street 1:123 HENDERSONVILLE RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2868
Practice Address - Country:US
Practice Address - Phone:828-257-4730
Practice Address - Fax:828-232-2942
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-12
Last Update Date:2023-11-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101258063207Q00000X, 207Q00000X
NC2015-01035207Q00000X
OH35095053207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine