Organization
CARE DOC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN D. BOLES M.D. (CEO)
(228) 256-1831
Entity
Organization
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 256-1831
Mailing address
2194 HARMANSON VUE, BILOXI, MS 39531-5273
(228) 236-3872
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/31/2018
Last updated
12/11/2023
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