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1104133495
LARRY T. BOLTON, M.D.,P.C.
SCOTTSBORO, AL
NPI
1104133495
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Entity Type
Organization
Authorized Contact
LARRY T BOLTON
Owner
256-574-3623
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: AL 5951)
Enumeration Date
2010-09-08
Last Update Date
2010-09-08
Business Address
LARRY T. BOLTON, M.D.,P.C.
303 PARKS AVE
SCOTTSBORO, AL 35768-2411
Phone number: 256-574-3623
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Mailing Address
LARRY T. BOLTON, M.D.,P.C.
303 PARKS AVE
SCOTTSBORO, AL 35768-2411
Phone number: 256-574-3623
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