Individual
JEREMIAH CHAD BOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2901 BLUE RIDGE RD STE 203, RALEIGH, NC 27607-6423
(919) 784-6818
(919) 784-6828
Mailing address
2901 BLUE RIDGE RD STE 203, RALEIGH, NC 27607-6423
(919) 784-6818
(919) 784-6828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200800536
NC
207RH0003X
Hematology & Oncology Physician
Primary
200800536
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2007
Last updated
08/25/2022
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