Individual
PEGGY L BOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-4394
Mailing address
PO BOX 3294, TUPELO, MS 38803-3294
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
24988
MS
Other
Enumeration date
07/05/2013
Last updated
07/31/2017
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