Individual
SHANTELE HINTON BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6524 U S HIGHWAY 98, HATTIESBURG, MS 39402-8569
(601) 268-9393
(601) 268-9559
Mailing address
6524 U S HIGHWAY 98, HATTIESBURG, MS 39402-8569
(601) 268-9393
(601) 268-9559
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
24981
MS
207V00000X
Obstetrics & Gynecology Physician
Primary
T-2676
MS
Other
Enumeration date
06/30/2013
Last updated
07/21/2022
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