Billy Boldon, DO Valid NPI
Individual provider · Pediatrics Physician · Greenwood, MS
- NPI
- 1790754000
- Type
- Individual (Type 1)
- Primary specialty
- Pediatrics Physician (Pediatrics)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208000000X
- License number
- 12903 (MS)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-03-17
- Last updated
- 2008-04-25
Practice location
1405 Strong Ave
Greenwood, MS 38930-4035
(662) 459-7030