NPI 1205724556
Empress Bolton
Practice location
- Address
- 301 Humble Ave STE 490, Hattiesburg, MS 39401-6365
- Phone
- (866) 264-9450
- Mailing address
- 3 Hartford CT, Hattiesburg, MS 39402-8266
Registered specialties
Prosthetics Case Management
Primary
Registry record
- NPI
- 1205724556
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Jun 2025
- Record last updated
- 25 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.