Mr. ANTHONY BRADLEY BOLAND -- M.D.
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1437135373- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 2500 N STATE ST, JACKSON, MS, 392164500
- Phone
- (601) 984-2680
- Fax
- (601) 815-4563
Specialties & Taxonomies
Unknown
License: TN #MD29549
Unknown
License: GA #044417
Unknown
License: WA #MD00022869
Unknown
Primary License: MS #20979