Organization
BOLTON CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM F KROOSS II MD (MANAGING MEMBER)
(601) 932-3191
Entity
Organization
Contact information
Practice address
2001 AIRPORT RD N, SUITE 204, FLOWOOD, MS 39232-8827
(601) 932-3191
(601) 936-7193
Mailing address
115 W MADISON ST, BOLTON, MS 39041
(601) 866-7723
(601) 866-7773
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R652075
MS
Other
Enumeration date
03/01/2007
Last updated
04/16/2008
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