JARRETT B BOLIN NPI 1750479119

NPI Information

NPI: 1750479119
Provider Name: JARRETT B BOLIN
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
3421 MIKE PADGETT HWY
AUGUSTA, GA
ZIP 30906
Phone: (706) 432-4858
Get Directions

Jarrett B Bolin is a professional counselor in Augusta, GA. Jarrett B Bolin NPI is 1750479119. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3421 MIKE PADGETT HWY
AUGUSTA, GA
ZIP 30906-815
Phone: (706) 432-4858
Fax: (706) 432-3780

The enumeration date for this NPI number is 10/11/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LPC004622	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0000606317B	MEDICAID	GEORGIA
2	GRP 2010	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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