Individual
DR. JAMES FRED BOLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 PROFESSIONAL PARK DR, CUMMING, GA 30040-2381
(770) 887-9369
(770) 887-1907
Mailing address
2245 MOUNTAIN LAUREL DR, CUMMING, GA 30040-2963
(770) 889-4791
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
023568
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00251336A
—
GA
Enumeration date
01/31/2006
Last updated
10/10/2007
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