Dewitt L Bolton, MD Valid NPI
Individual provider · Family Medicine Physician · Picayune, MS
- NPI
- 1285642330
- Type
- Individual (Type 1)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- 05036 (MS)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-08-04
- Last updated
- 2007-07-08
Practice location
906 Sixth Ave
Picayune, MS 39466-3802
(601) 798-7529