Bolton, Meredith Jennifer

Bolton, Meredith Jennifer is an individual health care provider with primary practice located at 740 Prince Ave Building 3, Athens GA 30606-5908. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Bolton, Meredith Jennifer can be contacted via phone (706) 548-4272.

Contact Information

Primary practice address
740 Prince Ave Building 3 Athens GA 30606-5908
Phone: (706) 548-4272
Fax: (706) 548-9181
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 075955 Georgia

Profile Details

NPI number 1588923254
LBN Legal business name Bolton, Meredith Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2012
Last updated Mar 26th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588923254 NPPES
Georgia Other GRP3569 OPT-OUT
Georgia MEDICAID 300034164A OPT-OUT

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