Larry T. Bolton, M.d.,p.c.
NPI #1104133495 in Scottsboro, Alabama
Provider Information
- NPI Number
- 1104133495
- Entity Type
- Organization
- Organization Name
- Larry T. Bolton, M.d.,p.c.
- Primary Specialty
- General Practice
- Enumeration Date
- Sep 8, 2010
- Last Updated
- Sep 8, 2010
Practice Location
- Address
- 303 PARKS AVE
- City
- Scottsboro
- State
- Alabama
- ZIP Code
- 35768-2411
- Phone
- (256) 574-3623
Authorized Official
- Name
- DR. LARRY T BOLTON, M.D.
- Title
- OWNER
- Phone
- (256) 574-3623
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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