| Boles Llc | |
|
4500 13th St Ste 900 Gulfport MS 39501-2515 | |
| (225) 822-6965 | |
| (226) 822-6999 |
| Full Name | Boles Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4500 13th St Ste 900, Gulfport, Mississippi |
| Authorized Official Name and Position | Nathan Dovel Boles (CEO) |
| Authorized Official Contact | 2262651323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boles Llc 2194 Harmanson Vue Biloxi MS 39531-5273 Ph: (226) 236-3872 | Boles Llc 4500 13th St Ste 900 Gulfport MS 39501-2515 Ph: (225) 822-6965 |
| NPI Number | 1841790367 |
|---|---|
| Provider Enumeration Date | 02/21/2018 |
| Last Update Date | 12/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841790367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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