Individual
ANNA BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 CUNNINGHAM BLVD, BOONEVILLE, MS 38829-1726
(662) 720-7158
Mailing address
101 SEVENTH ST, BOONEVILLE, MS 38829-2617
(706) 977-5014
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1122
MS
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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