OrganizationActive
Gary G. Bolton, M. D., P. A.
NPI 1205067188 · Clinic/Center · Ridgeland, MS
Provider details
- NPI number
- 1205067188
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gary Bolton, President(601) 206-9433
- License
- 10243 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
305 Highland Park Cove
Ridgeland, MS 39157-6059
Phone: (601) 206-9433
Approximate (ZIP-level) locationGet directions
Mailing address
305 Highland Park Cove
Ridgeland, MS 39157-6059
Registry dates
- Enumerated
- 2009-07-27
- Last updated
- 2009-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.