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

Bolivar Medical Clinic

Organization Family Medicine Physician · NPI 1720297708

Bolivar Medical Clinic is a Family Medicine Physician in Bolivar, Tennessee. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

610 Nuckolls Rd
Bolivar, TN 38008-1532
Phone: (731) 658-7111
Fax: (731) 658-4328
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 number1720297708
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Frost — Doctor · (731) 658-7111
NPI enumeratedMay 22, 2007
Last updated in NPPESFebruary 28, 2011
Mailing address610 Nuckolls Rd, Bolivar, TN 38008-1532

Other providers in Bolivar