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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GREG H BOLTON, PA-C

Active

Medical Physician Assistant · PINEVILLE, LA

Registration Details

NPI Number
1255448361
Provider Type
Individual
Gender
Male
NPI Issued
Aug 24, 2006 (19.659871205873 yrs)
Last Updated
Jul 28, 2023
Licenses
PA.A10512.RX (LA)
A10512 (LA)

Practice Information

Address
2495 SHREVEPORT HWY
PINEVILLE, LA, 713604044
Browse LA providers · Browse ZIP 71360
Phone
3184730010
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in PINEVILLE, LA

Name Credential NPI
DANE CHRISTOPHER PONTHIER PA-C 1285614008
MRS. JENNIFER R MCVAY PA-C 1336244961
CHRISTY LEANNE CHANDLER PA-C 1902998008
HAZEL ALVIAR PA 1174686877
MR. WILLIE RAYMOND VASQUEZ JR. PA-C 1487323499
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.