# CARE DOC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225505993
- **Authorized official:** NATHAN D. BOLES M.D. (CEO)
- **Authorized official phone:** (228) 236-3872

## Contact information

- **Practice address:** 4500 13TH ST, GULFPORT, MS 39501-2515
- **Practice address phone:** (228) 256-1831
- **Mailing address:** 1302 44TH AVE, GULFPORT, MS 39501-2552
- **Mailing address phone:** (228) 236-3872

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/31/2018
- **Last updated:** 09/08/2026