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Contact Information

BOLIVAR EMERGENCY GROUP LLC
901 HWY 8 EAST SUNFLOWER RD
CLEVELAND, MS38732
 Phone: 662-846-0061
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Medical

363AM0700X 97 Physician Assistant
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BOLIVAR EMERGENCY GROUP LLC · (Female)

NPI # 1417194978
Status Active
Credentials
Entity Individual
Enumeration date 01/20/2009
Last updated 01/20/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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