Dr Gary Glenn Bolton, M D | |
305 Highland Park Cv, Ridgeland, MS 39157-6059 | |
(601) 206-9433 | |
(601) 206-5428 |
Full Name | Dr Gary Glenn Bolton |
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Gender | Male |
Speciality | Dermatology |
Experience | 42 Years |
Location | 305 Highland Park Cv, Ridgeland, Mississippi |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972620797 | NPI | - | NPPES |
00111886 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 10243 (Mississippi) | Primary |
Entity Name | Gary G. Bolton, M. D., P. A. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205067188 PECOS PAC ID: 7810031630 Enrollment ID: O20100217000639 |
Mailing Address | Practice Location Address |
---|---|
Dr Gary Glenn Bolton, M D 305 Highland Park Cv, Ridgeland, MS 39157-6059 Ph: (601) 206-9433 | Dr Gary Glenn Bolton, M D 305 Highland Park Cv, Ridgeland, MS 39157-6059 Ph: (601) 206-9433 |
Caroline Mcintire Daggett, MD Dermatology Medicare: Medicare Enrolled Practice Location: 113 W Jackson St Ste 2c, Ridgeland, MS 39157 Phone: 601-607-8222 Fax: 601-914-4804 | |
Dr. Jasmine C. Hollinger, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 731 S Pear Orchard Rd Ste 16, Ridgeland, MS 39157 Phone: 601-672-2044 | |
Amanda Daggett, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 113 W Jackson St Ste 2c, Ridgeland, MS 39157 Phone: 601-607-8222 Fax: 601-914-4804 | |
Dr. Sethelle Lucas Flowers, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 299 Highway 51, Suite F1, Ridgeland, MS 39157 Phone: 601-853-2440 Fax: 601-853-2460 |