Individual
DR. JOEL C BOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1230 CARMICHAEL WAY, MONTGOMERY, AL 36106-3671
(334) 277-7665
(334) 277-7142
Mailing address
1230 CARMICHAEL WAY, MONTGOMERY, AL 36106-3671
(337) 277-7665
(334) 277-7142
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
20157
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000036956
—
AL
01
—
51021380
BLUE CROSS
AL
01
—
51036956
BCBSAL
AL
Enumeration date
12/21/2006
Last updated
10/25/2016
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