# BOLIVAR PHYSICIAN PRACTICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Universal Health Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376787556
- **Authorized official:** CHARLOTTE LAWRENCE (SECRETARY)
- **Authorized official phone:** (615) 347-8859

## Contact information

- **Practice address:** 218 N PEARMAN AVE, CLEVELAND, MS 38732-2634
- **Practice address phone:** (662) 298-1730
- **Mailing address:** 218 N PEARMAN AVE, CLEVELAND, MS 38732-2634
- **Mailing address phone:** (662) 298-1730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/01/2009
- **Last updated:** 06/04/2026