Individual
WILLIAM R BOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 BLOUNT AVE, SUITE 507, KNOXVILLE, TN 37920
(865) 525-0598
(865) 525-0598
Mailing address
PO BOX 779, JOHNSON CITY, TN 37605-0779
(423) 928-1145
(423) 928-1353
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
12396
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3858853
—
TN
01
—
5379626
AETNA
TN
05
—
64021280
—
TN
01
—
7079731
BLUECROSS
TN
01
—
P00126983
PALMETTO GBA-RR MEDICARE
TN
Enumeration date
01/03/2006
Last updated
07/09/2007
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