Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bolivar General Hospital, Inc

Organization Family Medicine Physician · NPI 1538634050

Bolivar General Hospital, Inc is a Family Medicine Physician in Bolivar, Tennessee. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

640 Nuckolls Rd
Bolivar, TN 38008-1532
Phone: (731) 658-3100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1538634050
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBolivar General Hospital, Inc
Authorized official James Ross — President And Ceo · (731) 512-1277
Other names West Tennessee Medical Group Primary Care Bolivar
NPI enumeratedOctober 11, 2018
Last updated in NPPESJanuary 22, 2019
Mailing address620 Skyline Dr, Jackson, TN 38301-3923

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