Individual
GABRIELA T BOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
881 PROFESSIONAL PARK DR, CLARKSVILLE, TN 37040-5257
(931) 645-4685
(931) 245-2117
Mailing address
881 PROFESSIONAL PARK DR, CLARKSVILLE, TN 37040-5257
(931) 645-4685
(931) 245-2117
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD 29729
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1502883
—
TN
Enumeration date
09/07/2005
Last updated
06/29/2020
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