Organization
RANDALL J. BOLAR, MD, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL J BOLAR M.D. (SOLE MEMBER)
(931) 552-0380
Entity
Organization
Contact information
Practice address
787 WEATHERLY DR, SUITE 400, CLARKSVILLE, TN 37043-8949
(931) 552-0380
(931) 551-3157
Mailing address
787 WEATHERLY DR, SUITE 400, CLARKSVILLE, TN 37043-8949
(931) 552-0380
(931) 551-3157
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34949
TN
Other
Enumeration date
06/23/2006
Last updated
02/23/2009
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