BOLIVAR PHYSICIAN PRACTICES LLC

CLEVELAND, MS
NPI1043454655
Entity TypeOrganization
Authorized ContactJESS N JUDY
President
615-920-7000
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies207R00000X Internal Medicine
207X00000X Orthopaedic Surgery
207Y00000X Otolaryngology
208800000X Urology
363L00000X Nurse Practitioner
363A00000X Physician Assistant
Enumeration Date2009-04-27
Last Update Date2015-01-06
Business Address
BOLIVAR PHYSICIAN PRACTICES LLC
810 E SUNFLOWER RD STE. 100A
CLEVELAND, MS 38732-2800
Phone number: 662-843-8885
Mailing Address
BOLIVAR PHYSICIAN PRACTICES LLC
429 W AIRLINE HWY STE N
LA PLACE, LA 70068-3817
Phone number: 986-652-5052