NPI 1073960118

Mallory A. Booth, PAC

Practitioner Medical Physician Assistant Tuscaloosa, AL

Practice location

Address: 1050 Ruby Tyler Pkwy, Tuscaloosa, AL 35404-2958
Phone: (478) 743-7068
Fax: (478) 741-1354

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 10676 (GA)

Other Physician Assistant providers in Alabama →

Registry record

NPI: 1073960118
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 May 2016
Record last updated: 14 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.