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Contact Information

MICHAEL J BOLAND, MD
255 BAPTIST BLVD
SUITE 402
COLUMBUS, MS39705
 Phone: 662-240-1412
 Fax: 662-240-1949
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL J BOLAND · (Male)

NPI Number 1104867936
Status Active
Credentials MD
Entity Individual
Enumeration date 06/10/2006
Last updated 12/07/2012 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 00027291
  • GA License # 056686
  • MS License # 06387
  • MS License # 6387
  • AL Medicaid 009601740
  • MS Medicaid 0115039
  • AL Other 730-01754 BLUE CROSS BLUE SHIELD
  • AL Other 730-05844 BLUE CROSS BLUE SHIELD
  • AL Other 730-05954 BLUE CROSS BLUE SHIELD
  • AL Other 730-73298 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • GILMORE MEMORIAL HOSPITAL - (Acute Care)
    1105 EARL FRYE BLVD
    AMORY, MS 38821
  • NORTH MISSISSIPPI MEDICAL CENTER - (Acute Care)
    830 S GLOSTER
    TUPELO, MS 38801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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