Individual
VINCENT BLAKE BOLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
801 CHATTANOOGA AVE, APT. A124, DALTON, GA 30720-8884
(706) 463-6325
Mailing address
801 CHATTANOOGA AVE, APT. A124, DALTON, GA 30720-8884
(706) 463-6325
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11017547
FL
367500000X
Certified Registered Nurse Anesthetist
RN219675
GA
Other
Enumeration date
01/23/2017
Last updated
12/18/2024
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