Individual
MR. HASANI K BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1720B MEDICAL PARK DR, BILOXI, MS 39532-2131
(228) 822-6300
Mailing address
220 VIRGINIA AVE, PICAYUNE, MS 39466-4658
(601) 916-9790
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
197906
MS
Other
Enumeration date
08/11/2026
Last updated
08/11/2026
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