Individual
JOHN W BOLDT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
979 E 3RD ST, SUITE B-805, CHATTANOOGA, TN 37403-2136
(423) 778-9101
(423) 778-4397
Mailing address
PO BOX 11547, CHATTANOOGA, TN 37401-2547
(423) 778-3274
(423) 778-2255
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
26336
TN
Other
Enumeration date
10/14/2005
Last updated
10/02/2007
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