| NPI | 1316388416 |
|---|---|
| Doing Business As | BOLIVAR UROLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | JESS N JUDY President 615-565-1508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |