person
Dr. Sheila Bouldin, MD
Obstetrics & Gynecology Physician in Jackson, Mississippi
NPI 1164467643

Sheila Bouldin is a Obstetrics & Gynecology Physician based in Jackson, MS. Sheila Bouldin practices in Jackson, MS and has the professional credentials of MD. The NPI Number for Sheila Bouldin is 1164467643 and holds a License No. 15149 (Mississippi).

The current practice location address for Sheila Bouldin is 2500 N State St, Jackson, MS and can be reached out via phone at 601-984-5373 and via fax at 601-984-5476.

Location: 2500 N State St, Jackson, MS, 39216-4500
person
Provider Profile Details
NPI Number
1164467643
Provider Name
Sheila Bouldin
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2500 N State St, Jackson, MS, 39216-4500
Phone Number
601-984-5373
Fax Number
601-984-5476
Provider Enumeration Date
06/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
178135 05 MS
512G700003 01 MS UP MEDICARE GROUP PROV #
160056544 01 MS RR MEDICARE NUMBER
512I160015 01 MS MEDICARE PTAN
00120467 05 MS
08103071 01 MS UP MEDICAID GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-5373
Fax Number
601-984-5476
person
Provider Business Mailing Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-5373
Fax Number
601-984-5476
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
License No.
15149 (Mississippi)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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