Individual provider · Type 1 NPI

Greg H. Bolton, PA-C

Medical Physician Assistant · Pineville, LA

NPI number 1255448361 Active

Practice location

2495 Shreveport Hwy
Pineville, LA 71360-4044

Call (318) 473-0010 Map

Mailing address

4100 Embassy Dr SE, Suite 200
Grand Rapids, MI 49546-2416

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA.A10512.RX (LA)
Medical Physician Assistant Primary 363AM0700XA10512 (LA)

Medical Physician Assistant: Definition to come...

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About NPI 1255448361

Greg H. Bolton, PA-C's National Provider Identifier is 1255448361, issued on Aug 24, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pineville, LA. The record was last updated on Jul 28, 2023.