Dr. Billy Boldon
DO | Pediatrics | Male
Dr. Billy Boldon, DO is a Greenwood, Mississippi based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Billy Boldon is
1405 Strong Ave, Greenwood, Mississippi - 38930-4035. He can be contacted on phone at
662-459-7030 and fax number 662-459-1104.
Dr. Billy Boldon is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Billy Boldon is
1790754000 which was assigned by NPPES on 17 Mar, 2006 and it was last updated on 25 Apr, 2008.
Dr. Billy Boldon license number is
12903 for Pediatrics (208000000X) in Mississippi.
Dr. Billy Boldon is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Billy Boldon basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Billy Boldon |
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| Credential : | DO |
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| Gender : | Male |
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Business Address:
Dr. Billy Boldon address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1405 Strong Ave
Greenwood, MS, 38930-4035
United States |
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| Phone Number : | 662-459-7030 |
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| Fax Number : | 662-459-1104 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1790754000 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Mar, 2006 |
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| Last Updated On : | 25 Apr, 2008 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Billy Boldon are as mentioned. Primary taxonomy code for Dr. Billy Boldon, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 12903 | MS |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Billy Boldon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00113949 | MEDICAID | MS | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 1410, Attn Clinic Administration
Greenwood, MS, 38935-1410
United States |
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| Phone Number : | 662-459-1187 |
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| Fax Number : | 662-459-1147 |
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Business Location:
Patients can refer following map for directions to
Dr. Billy Boldon practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.