Gary G. Bolton, M. D., P. A.

LBN: Gary G. Bolton, M. D., P. A.
Gary G. Bolton, M. D., P. A. is an health care organization with primary practice located at 305 Highland Park Cove , Ridgeland MS 39157-6059. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Gary G. Bolton, M. D., P. A. can be contacted via phone (601) 206-9433, or through Bolton, Gary G via phone (601) 206-9433.

Contact Information

Primary practice address
305 Highland Park Cove Ridgeland MS 39157-6059
Phone: (601) 206-9433
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bolton, Gary G Doctor of Medicine (MD)
Phone: (601) 206-9433

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 10243 Mississippi

Profile Details

NPI number 1205067188
LBN Legal business name Gary G. Bolton, M. D., P. A.
DBA Doing business as
Authorized official Bolton, Gary G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2009
Last updated Jul 27th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205067188 NPPES
Mississippi MEDICAID 00111886

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