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

DR. GARY GLENN BOLTON, M. D.

Active Sole Proprietor

DR. GARY GLENN BOLTON, M. D. is a Dermatology healthcare provider located in RIDGELAND, Mississippi. NPI 1972620797 is currently active in the NPPES registry. Verify at CMS.

Dermatology · RIDGELAND, MS

Registration Details

NPI Number
1972620797
Provider Type
Individual
Gender
Male
NPI Issued
Mar 25, 2007 (19.403753660398 yrs)
Last Updated
Apr 4, 2014
License
10243 (MS)
Sole Proprietor
Yes

Practice Information

Address
305 HIGHLAND PARK CV
RIDGELAND, MS, 391576059
Browse MS providers · Browse ZIP 39157
Phone
6012069433
Fax
6012065428
Primary Specialty
Dermatology
207N00000X

Other Dermatology Providers in RIDGELAND, MS

Name Credential NPI
DR. SETHELLE LUCAS FLOWERS MD 1730209289
DR. JASMINE C. HOLLINGER M.D. 1265729719
AMANDA DAGGETT MD 1457706434
CAROLINE MCINTIRE DAGGETT MD 1083234926
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.