person
Mr. Anthony Bradley Boland, MD
Vascular Surgery Physician in Jackson, Mississippi
NPI 1437135373

Anthony Bradley Boland is a Vascular Surgery Physician based in Jackson, MS and is specialized in Vascular Surgery. Anthony Bradley Boland practices in Jackson, MS and has the professional credentials of MD. The NPI Number for Anthony Bradley Boland is 1437135373 and holds a License No. MD29549 (Mississippi).

The current practice location address for Anthony Bradley Boland is 2500 N State St, Jackson, MS and can be reached out via phone at 601-984-2680 and via fax at 601-815-4563.

Location: 2500 N State St, Jackson, MS, 39216-4500
person
Provider Profile Details
NPI Number
1437135373
Provider Name
Anthony Bradley Boland
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2500 N State St, Jackson, MS, 39216-4500
Phone Number
601-984-2680
Fax Number
601-815-4563
Provider Enumeration Date
12/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07188733 05 MS
100033107 01 TN PHP TENNCARE
4078780 01 AETNA
3153656 01 TN BLUECROSS OF TN
62178953301 01 TN JOHN DEERE HEALTHCARE
0140040322 01 TN CIGNA HMO
3740047 01 TN UNITED HEALTHCARE
00832917B 05 GA
009965915 05 AL
56812 01 FIRST HEALTH
P01189946 01 MS RAILROAD MEDICARE PTAN
3812941 05 TN
8490567 05 WA
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-2680
Fax Number
601-815-4563
person
Provider Business Mailing Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-2680
Fax Number
601-815-4563
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
MD29549 (Tennessee)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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