Mark L. Boles, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

045731 Issued in GA

Legal business name

MARK L. BOLES, MD

Practice address

227 Industrial Blvd
Dublin, GA 31021-2969

Phone

(478) 275-1304

Fax

(478) 275-1375

NPI assigned

May 1, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark L Boles, M.D.NPI 1417969205

Title

Owner

Phone

(478) 275-1304

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dublin Women's Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark L Boles, M.D.

  • Obstetrics & Gynecology Physician
  • Dublin, GA
  • NPI 1417969205
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1508124249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 INDUSTRIAL BLVD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212969",
            "telephone_number": "478-275-1304",
            "fax_number": "478-275-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 INDUSTRIAL BLVD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212969",
            "telephone_number": "478-275-1304",
            "fax_number": "478-275-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK L. BOLES, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "BOLES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-275-1304",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "045731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00797266B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dublin Women's Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Joiner Manning, COTA/L
• Henry A Manning, PA C
• Mikaela Mantele, PTA
• Anthony Margiotta Jr., LMSW
• Mark a Everson Medical Supply
• Danielle Paige Martin, NP-C
• Donna Martin, SOCIAL WORKER
• Eva Martin, M.D.
• John A Martin, MPT,ATC
• Olivia Hoelscher Martin, OTR

• Obstetrics & Gynecology Physician in Dublin, GA
• Providers in Dublin, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.