Individual
JOHN MICHAEL BOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 20TH AVE N, 9TH FLOOR, NASHVILLE, TN 37203-2131
(615) 284-1400
(615) 284-1348
Mailing address
300 20TH AVE N, 9TH FLOOR, NASHVILLE, TN 37203-2131
(615) 284-1400
(615) 284-1348
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
14099
TN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
14099
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110054559
RR MEDICARE
TN
01
—
2003904
BLUE CROSS BLUE SHIELD
TN
05
—
3018721
—
TN
01
—
4082465
AETNA
TN
Enumeration date
06/09/2005
Last updated
10/15/2014
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