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Larry T. Bolton, M.d.,p.c.
General Practice Physician in Scottsboro, Alabama
NPI 1104133495

Larry T. Bolton, M.d.,p.c. is a General Practice Physician based in Scottsboro, AL. Larry T. Bolton, M.d.,p.c. practices in Scottsboro, AL. The NPI Number for Larry T. Bolton, M.d.,p.c. is 1104133495 and holds a License No. 5951 (Alabama).

The current practice location address for Larry T. Bolton, M.d.,p.c. is 303 Parks Ave, Scottsboro, AL and can be reached out via phone at 256-574-3623 and via fax at 256-574-6223.

Location: 303 Parks Ave, Scottsboro, AL, 35768-2411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104133495
Provider Name
Larry T. Bolton, M.d.,p.c.
Credential
Provider Entity Type
Organization
Address
303 Parks Ave, Scottsboro, AL, 35768-2411
Phone Number
256-574-3623
Fax Number
256-574-6223
Provider Enumeration Date
09/08/2010
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000000569 05 AL
institution
Provider Business Practice Location Address Details
Address
303 Parks Ave
City
Scottsboro
State
Alabama
Zip
35768-2411
Phone Number
256-574-3623
Fax Number
256-574-6223
person
Provider Business Mailing Address Details
Address
303 Parks Ave
City
Scottsboro
State
Alabama
Zip
35768-2411
Phone Number
256-574-3623
Fax Number
256-574-6223
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
5951 (Alabama)
Definition
Definition to come...
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