Dr. Nathan D Boles, MD
Hospitalist in Gulfport, MS. Individual provider (NPI-1).
NPI number1730277757
StatusActive
Last updated in NPPESSep 29, 2026
Details
- NPI
- 1730277757
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nathan D Boles
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2006
- Certification date
- Aug 10, 2023
- Last updated
- Sep 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 19325 | MS | Yes |
| 207R00000X | Internal Medicine | 19325 | MS | |
| 207RH0002X | Internal Medicine, Hospice and Palliative Medicine | 19325 | MS |
Practice location
4500 13th StGulfport, MS 39501-2515
Phone 228-864-8454 · Fax 228-865-1451
Mailing address
Po Box 1810Gulfport, MS 39502-1810
Phone 228-864-8454 · Fax 228-865-1451
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