Boles LLC
Internal Medicine in Gulfport, MS. Organization (NPI-2).
NPI number1841790367
StatusActive
Last updated in NPPESSep 8, 2026
Details
- NPI
- 1841790367
- Entity type
- Organization (NPI-2)
- Legal business name
- Boles LLC
- Organization subpart
- No
- Enumeration date
- Feb 21, 2018
- Certification date
- Sep 8, 2026
- Last updated
- Sep 8, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
4500 13th St Ste 900Gulfport, MS 39501-2515
Phone 225-822-6965 · Fax 226-822-6999
Mailing address
1302 44th AveGulfport, MS 39501-2552
Phone 226-236-3872
Authorized official
Nathan Dovel Boles
Ceo
2282363872
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