Individual
MEREDITH JENNIFER BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
740 PRINCE AVE, BUILDING 3, ATHENS, GA 30606-5908
(706) 548-4272
(706) 548-9181
Mailing address
5780 PEACHTREE DUNWOODY RD STE 300, ATLANTA, GA 30342-1513
(706) 548-4272
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
075955
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300034164A
—
GA
01
—
GRP3569
OPT-OUT
GA
Enumeration date
05/15/2012
Last updated
03/26/2019
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