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Organization

BOLIVAR PHYSICIAN PRACTICES LLC

Active
Parent organization
LIFEPOINT HOSPITALS
Other names
Delta Neurology Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
LIFEPOINT HOSPITALS
Authorized official
DAVID M DILL (DIRECTOR/OFFICER)
(662) 846-5687
Entity
Organization

Contact information

Practice address
903 EAST SUNFLOWER RD, SUITE 400, CLEVELAND, MS 38732-2551
(662) 846-5687
(662) 846-2891
Mailing address
903 EAST SUNFLOWER RD, SUITE 400, CLEVELAND, MS 38732-2551
(662) 846-5687
(662) 846-2891

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
11/16/2010
Last updated
11/23/2010
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