IndividualActive
Gary Bolton, M. D.
NPI 1972620797 · Dermatology Physician · Ridgeland, MS
Provider details
- NPI number
- 1972620797
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M. D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 10243 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
305 Highland Park Cv
Ridgeland, MS 39157-6059
Phone: (601) 206-9433
Fax: (601) 206-5428
Approximate (ZIP-level) locationGet directions
Mailing address
305 Highland Park Cv
Ridgeland, MS 39157-6059
Registry dates
- Enumerated
- 2007-03-25
- Last updated
- 2014-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.