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
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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