Organization
BOLIVAR PHYSICIAN PRACTICES LLC
Active
Other names
Bolivar Urology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JESS N JUDY (PRESIDENT)
(615) 565-1508
Entity
Organization
Contact information
Practice address
907 E SUNFLOWER RD, SUITE 103, CLEVELAND, MS 38732-2830
(662) 846-9990
(662) 846-5444
Mailing address
907 E SUNFLOWER RD, SUITE 103, CLEVELAND, MS 38732-2830
(662) 846-9990
(662) 846-5444
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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