Bolton Family Medical Clinic, P.c. | |
2781 Highway 145 Saltillo MS 38866-9783 | |
(662) 869-0033 | |
(662) 869-0053 |
Full Name | Bolton Family Medical Clinic, P.c. |
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Speciality | Family Medicine |
Location | 2781 Highway 145, Saltillo, Mississippi |
Authorized Official Name and Position | Kirsten J Bolton (PRESIDENT/PHYSICIAN) |
Authorized Official Contact | 6628690033 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bolton Family Medical Clinic, P.c. Po Box 1308 Saltillo MS 38866-1308 Ph: (662) 869-0033 | Bolton Family Medical Clinic, P.c. 2781 Highway 145 Saltillo MS 38866-9783 Ph: (662) 869-0033 |
NPI Number | 1811178577 |
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Provider Enumeration Date | 11/21/2007 |
Last Update Date | 01/10/2014 |
Medicare PECOS PAC ID | 9436043957 |
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Medicare Enrollment ID | O20040213000259 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811178577 | NPI | - | NPPES |
09623207 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 16344 (Mississippi) | Primary |
Provider Name | Kirsten J Bolton |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194745497 PECOS PAC ID: 8325932841 Enrollment ID: I20040219000132 |
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