Larry T. Bolton, M.D.,P.C.

LBN: Larry T. Bolton, M.D.,P.C.
Larry T. Bolton, M.D.,P.C. is an health care organization with primary practice located at 303 Parks Ave , Scottsboro AL 35768-2411. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Larry T. Bolton, M.D.,P.C. can be contacted via phone (256) 574-3623, or through Bolton, Larry T via phone (256) 574-3623.

Contact Information

Primary practice address
303 Parks Ave Scottsboro AL 35768-2411
Phone: (256) 574-3623
Fax: (256) 574-6223
Website:
Map and Directions
Authorized official contact:
Name: Bolton, Larry T Doctor of Medicine (MD)
Phone: (256) 574-3623

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 5951 Alabama

Profile Details

NPI number 1104133495
LBN Legal business name Larry T. Bolton, M.D.,P.C.
DBA Doing business as
Authorized official Bolton, Larry T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2010
Last updated Sep 8th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104133495 NPPES
Alabama MEDICAID 000000569

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