# BOLES LLC

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

## Provider details

- **NPI number:** 1841790367
- **Authorized official:** DR. NATHAN DOVEL BOLES MD (CEO)
- **Authorized official phone:** (228) 236-3872

## Contact information

- **Practice address:** 4500 13TH ST STE 900, GULFPORT, MS 39501-2515
- **Practice address phone:** (225) 822-6965
- **Practice address fax:** (226) 822-6999
- **Mailing address:** 1302 44TH AVE, GULFPORT, MS 39501-2552
- **Mailing address phone:** (226) 236-3872

## Taxonomy

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

## Other

- **Enumeration date:** 02/21/2018
- **Last updated:** 09/08/2026