NPI 1972620797

Gary Glenn Bolton, MD

Practitioner Dermatology Physician Ridgeland, MS

Practice location

Address: 305 Highland Park Cv, Ridgeland, MS 39157-6059
Phone: (601) 206-9433
Fax: (601) 206-5428

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 10243 (MS)

Other Dermatology providers in Mississippi →

Registry record

NPI: 1972620797
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Mar 2007
Record last updated: 4 Apr 2014

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.