Doctor Name: | CAROL ANN BOLES |
NPI Number: | 1184602542 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 97-00481 |
Business Practice Address: | Medical Center Blvd Winston Salem, NC - 271570001 |
Business Phone Number: | 3367162255 |
Business Fax Number: | |
Mailing Address: | Po Box 344, WINSTON SALEM |
State: | NC |
Postal Code: | 271020344 |
Phone Number: | 3367162255 |
Fax Number: | |
NPI Enumeration Date: | 01/05/2006 |
NPI Last Update Date: | 10/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 97-00481 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |