Individual
DR. GARY GLENN BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
305 HIGHLAND PARK CV, RIDGELAND, MS 39157-6059
(601) 206-9433
(601) 206-5428
Mailing address
305 HIGHLAND PARK CV, RIDGELAND, MS 39157-6059
(601) 206-9433
(601) 206-5428
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
10243
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00111886
—
MS
Enumeration date
03/25/2007
Last updated
04/04/2014
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