Mallory Booth, PA-C

NPI 1073960118 · on the registry since 2016

Practice

Address: 1050 Ruby Tyler Pkwy
Tuscaloosa, AL 35404
Phone: (478) 743-7068
Fax: (478) 741-1354
Organisation at this address: The Dch Health Care Authority
Southeastern Pain & Rehabilitation Physicians, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-06-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama