Individual
DR. NATHAN D BOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 864-8454
(228) 865-1451
Mailing address
PO BOX 1810, GULFPORT, MS 39502-1810
(228) 864-8454
(228) 865-1451
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
19325
MS
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
19325
MS
208M00000X
Hospitalist Physician
Primary
19325
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09952743
—
MS
Enumeration date
10/11/2006
Last updated
08/10/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us