Individual
MARK L BOLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
227 INDUSTRIAL BLVD, DUBLIN, GA 31021-2969
(478) 272-1304
(478) 275-1375
Mailing address
227 INDUSTRIAL BLVD, DUBLIN, GA 31021-2969
(478) 272-1304
(478) 275-1375
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
045731
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00797266B
—
GA
Enumeration date
08/12/2006
Last updated
11/16/2023
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