Individual
PAMELA GRAY BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
125 MEDICAL PARK LN, SUITE H, MURPHY, NC 28906-6920
(828) 837-2128
(828) 837-6244
Mailing address
125 MEDICAL PARK LN, SUITE H, MURPHY, NC 28906-6920
(828) 837-2128
(828) 837-6244
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
N2009
TX
208000000X
Pediatrics Physician
24742
NC
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
N2009
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538279864
BCBSTX
TX
05
—
201428401
—
TX
05
—
8916463
—
NC
01
—
8BE069
BCBSTX
TX
Enumeration date
08/30/2006
Last updated
11/11/2010
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