Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARSHALL J BOULDIN IV, M.D.
ActiveMARSHALL J BOULDIN IV, M.D. is a Internal Medicine healthcare provider located in JACKSON, Mississippi. NPI 1255364956 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · JACKSON, MS
Registration Details
- NPI Number
- 1255364956
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2006 (20.102122739967 yrs)
- Last Updated
- Mar 9, 2014
- License
-
12970 (MS)
Practice Information
- Address
-
1040 RIVER OAKS DRSUITE 302JACKSON, MS, 392329530Browse MS providers · Browse ZIP 39232
- Phone
- 6019399923
- Fax
- 6019399924
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| SADEKA TAMANNA | M.D. | 1740264035 |
| DENISE LYNN HARKINS | MD | 1124094453 |
| LARRY L COLLINS | MD | 1164491924 |
| DR. JOHN PAYNE | MD | 1760451991 |
| MRS. CHERYL LYNN GLADNEY | M.D. | 1366401465 |
| HARRIET JONES | M.D | 1184672750 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.