| Bolivar Physician Practices Llc | |
|
218 N Pearman Ave Cleveland MS 38732-2634 | |
| (662) 298-1730 | |
| Not Available |
| Full Name | Bolivar Physician Practices Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 218 N Pearman Ave, Cleveland, Mississippi |
| Authorized Official Name and Position | Robert N Klein (PRESIDENT) |
| Authorized Official Contact | 6628438885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bolivar Physician Practices Llc 218 N Pearman Ave Cleveland MS 38732-2634 Ph: (662) 298-1730 | Bolivar Physician Practices Llc 218 N Pearman Ave Cleveland MS 38732-2634 Ph: (662) 298-1730 |
| NPI Number | 1376787556 |
|---|---|
| Provider Enumeration Date | 05/01/2009 |
| Last Update Date | 05/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376787556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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