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RANDALL J. BOLAR MD PLC NPI 1316973522


NPI Information

NPI: 1316973522
Provider Name: RANDALL J. BOLAR, MD, PLC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
787 WEATHERLY DR
SUITE 400
CLARKSVILLE, TN
ZIP 37043
Phone: (931) 552-0380
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RANDALL J. BOLAR, MD, PLC is a surgery in Clarksville, TN. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. RANDALL J. BOLAR, MD, PLC NPI is 1316973522. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

787 WEATHERLY DR
SUITE 400
CLARKSVILLE, TN
ZIP 37043-949
Phone: (931) 552-0380
Fax: (931) 551-3157

The provider's authorized official is Randall J Bolar .
The authorized official title is Sole Member and has the following contact phone number (931) 552-0380.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 2/23/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery34949TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13733813MEDICARE PINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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