IndividualActive
Billy Boldon, DO
NPI 1790754000 · Pediatrics Physician · Greenwood, MS
Provider details
- NPI number
- 1790754000
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 12903 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1405 Strong Ave
Greenwood, MS 38930-4035
Phone: (662) 459-7030
Fax: (662) 459-1104
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1410
Greenwood, MS 38935-1410
Registry dates
- Enumerated
- 2006-03-17
- Last updated
- 2008-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.