William Spencer Bolt, PA-C

NPI #1891402103 in Jellico, Tennessee

Provider Information

NPI Number: 1891402103
Entity Type: Individual
Name: William Spencer Bolt, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 4, 2022
Last Updated: Nov 4, 2022

Practice Location

Address: 1390 5TH ST
City: Jellico
State: Tennessee
ZIP Code: 37762-2631
Phone: (931) 253-1110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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