Individual
ANNALEE KATHARYN BOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3702 2ND AVE, COLUMBUS, GA 31904-7408
(706) 507-9209
Mailing address
5033 HALE DR, COLUMBUS, GA 31904-4839
(229) 977-2659
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11437
GA
363A00000X
Physician Assistant
PA.2639
AL
Other
Enumeration date
03/07/2023
Last updated
08/21/2025
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