Organization
BOLIVAR PHYSICIAN PRACTICES LLC
Active
Organization
BOLIVAR PHYSICIAN PRACTICES LLC
Active
Other names
Bolivar ENT
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
903 E SUNFLOWER RD, SUITE 400, CLEVELAND, MS 38732-2835
(662) 545-3205
(662) 545-3204
Mailing address
903 E SUNFLOWER RD STE 400, CLEVELAND, MS 38732-2836
(662) 545-3205
(662) 545-3204
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
08/07/2013
Last updated
06/04/2026
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