Melody Bolton

NPI #1104588839 in Kennesaw, Georgia

Provider Information

NPI Number: 1104588839
Entity Type: Individual
Name: Melody Bolton
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Anesthesiology
Enumeration Date: Oct 11, 2021
Last Updated: Oct 11, 2021

Practice Location

Address: 1300 RIDENOUR BLVD NW STE 300
City: Kennesaw
State: Georgia
ZIP Code: 30152-4402
Phone: (985) 722-7993

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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