ANNALEE KATHARYN BOLDT
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1578263661- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3702 2ND AVE, COLUMBUS, GA, 319047408
- Phone
- (706) 507-9209
Specialties & Taxonomies
Physician Assistant
License: AL #PA.2639
Physician Assistant
Primary License: GA #11437