Mr. Matthew R Boothby
Mr. Matthew R Boothby is a Physician Assistant in Brunswick, Georgia. Qualified in 2009, 17 years ago. Practices with Spine Center of Southeast Georgia LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 17
- Licensed in
- GA
- In the registry since
- 2009
Practice location Address checks out
1111 Glynco Pkwy Ste 300Brunswick, GA 31525-7933
Phone: (912) 262-6552
Fax: (912) 262-6599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 005660 (GA) |
|---|
Record details
| NPI number | 1871828897 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 8, 2009 |
| Last updated in NPPES | May 1, 2015 |
| Mailing address | 1111 Glynco Pkwy Ste 300, Brunswick, GA 31525-7933 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2009 (17 years in practice) |
| Group practice | Spine Center Of Southeast Georgia Llc — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Brunswick
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Mrs. Elizabeth Blair, PA-C
3025 Shrine Rd Ste 290, Brunswick, GA 31520-4785 · (912) 466-7660