Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carson Lee Booth

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669394078

Carson Lee Booth is a Student in an Organized Health Care Education/Training Program in Athens, Georgia. Licensed in Georgia. Registered with an NPI since 2026.

Licensed in
GA
In the registry since
2026

Practice location Address checks out

108 Spear Rd
Athens, GA 30602-5038
Phone: (706) 713-2617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (GA)

Record details

NPI number1669394078
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 28, 2026
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address108 Spear Rd, Athens, GA 30602-5038

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