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Gary G. Bolton, M. D., P. A.
Clinic/Center in Ridgeland, Mississippi
NPI 1205067188

Gary G. Bolton, M. D., P. A. is a Clinic/Center based in Ridgeland, MS. Gary G. Bolton, M. D., P. A. practices in Ridgeland, MS. The NPI Number for Gary G. Bolton, M. D., P. A. is 1205067188 and holds a License No. 10243 (Mississippi).

The current practice location address for Gary G. Bolton, M. D., P. A. is 305 Highland Park Cove, Ridgeland, MS and can be reached out via phone at 601-206-9433.

Location: 305 Highland Park Cove, Ridgeland, MS, 39157-6059
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205067188
Provider Name
Gary G. Bolton, M. D., P. A.
Credential
Provider Entity Type
Organization
Address
305 Highland Park Cove, Ridgeland, MS, 39157-6059
Phone Number
601-206-9433
Fax Number
Provider Enumeration Date
07/27/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00111886 05 MS
institution
Provider Business Practice Location Address Details
Address
305 Highland Park Cove
City
Ridgeland
State
Mississippi
Zip
39157-6059
Phone Number
601-206-9433
Fax Number
person
Provider Business Mailing Address Details
Address
305 Highland Park Cove
City
Ridgeland
State
Mississippi
Zip
39157-6059
Phone Number
601-206-9433
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
10243 (Mississippi)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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