Notlob Enterprises
NPI #1386123222 in Cookeville, Tennessee
Provider Information
- NPI Number
- 1386123222
- Entity Type
- Organization
- Organization Name
- Notlob Enterprises
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Aug 11, 2018
- Last Updated
- Mar 20, 2019
Practice Location
- Address
- 260 W 5TH ST
- City
- Cookeville
- State
- Tennessee
- ZIP Code
- 38501-1754
- Phone
- (931) 432-5849
Authorized Official
- Name
- DR. JAMES WADE BOLTON, DC, APRN, FNP-C
- Title
- PROVIDER
- Phone
- (931) 432-5849
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
Additional Practice Locations
3624 Long Lane Rd
Cookeville, TN, 38506-8012
(931) 432-5849
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