Individual
MITCHELL BOLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1665 HIGHWAY 34 E STE 100, NEWNAN, GA 30265-2404
(770) 252-7557
(770) 252-7513
Mailing address
1665 HIGHWAY 34 E STE 100, NEWNAN, GA 30265-2404
(770) 252-7557
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN233677
GA
Other
Enumeration date
05/01/2019
Last updated
02/15/2022
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