Dr CASEY J BOLTON is a female medical professional, specializing in Physician Assistant. She graduated in 2014 from University Of Alabama School Of Medicine.
THE LONGSTREET CLINIC, PC
725 JESSE JEWELL PKWY
SUITE 150
GAINESVILEL
GA
305013834
Tel: 7702975700
| Npi | 1629462056 |
| Pac Id | 3274847801 |
| Professional Enrollment Id | I20150727002319 |
| Last Name | BOLTON |
| First Name | CASEY |
| Middle Name | J |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | THE LONGSTREET CLINIC, PC |
| Group Practice Pac Id | 2668465733 |
| Number Of Group Practice Members | 121 |
| Line 1 Street Address | 725 JESSE JEWELL PKWY |
| Line 2 Street Address | SUITE 150 |
| Marker Of Address Line 2 Suppression | |
| City | GAINESVILEL |
| State | GA |
| Zip Code | 305013834 |
| Phone Number | 7702975700 |
| Hospital Affiliation Ccn 1 | 110041 |
| Hospital Affiliation Lbn 1 | HABERSHAM COUNTY MEDICAL CTR |
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| Professional Accepts Medicare Assignment | Y |
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