Individual
MR. RAYMOND CARLTON BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
1909 HAMPSHIRE PIKE, COLUMBIA, TN 84801
(931) 560-1130
Mailing address
1909 HAMPSHIRE PIKE, COLUMBIA, TN 38401-5650
(931) 560-1130
(931) 560-1119
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000107641
TN
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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