IndividualActive
Jacqueline Booth, MD
NPI 1083143671 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Oak Ridge, TN
Provider details
- NPI number
- 1083143671
- Entity type
- Individual
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 009101 (GA)
Specialties & taxonomies
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianPrimary207YX0007XLicense 74273 (TN)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
800 Oak Ridge Tpke Ste C100
Oak Ridge, TN 37830-6927
Phone: (865) 483-2288
Fax: (865) 482-4400
Approximate (ZIP-level) locationGet directions
Mailing address
800 Oak Ridge Tpke Ste C100
Oak Ridge, TN 37830-6927
Additional practice locations (2)
- 1855 Tanner Way Ste 130Harriman, TN 37748-8332Phone: (865) 882-1600Fax: (865) 285-9684
- 109 Independence Ln Ste 500La Follette, TN 37766-3040Phone: (423) 562-9744Fax: (423) 544-1862
Registry dates
- Enumerated
- 2017-06-07
- Last updated
- 2025-08-22
- Certified
- 2025-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.