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Dr. Matthew Bolton, MD
General Practice Physician in Crossville, Tennessee
NPI 1720082548

Matthew Bolton is a General Practice Physician based in Cookeville, TN. Matthew Bolton practices in Crossville, TN and has the professional credentials of MD. The NPI Number for Matthew Bolton is 1720082548 and holds a License No. 21614 (Tennessee).

The current practice location address for Matthew Bolton is 1503 S Main St, Crossville, TN and can be reached out via phone at 931-484-6196 and via fax at 931-456-1047.

Location: 1503 S Main St, Crossville, TN, 38501-0924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720082548
Provider Name
Matthew Bolton
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1503 S Main St, Crossville, TN, 38501-0924
Phone Number
931-484-6196
Fax Number
931-456-1047
Provider Enumeration Date
06/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4129250 01 TN BCBS
institution
Provider Business Practice Location Address Details
Address
1503 S Main St
City
Crossville
State
Tennessee
Zip
38555-5967
Phone Number
931-484-6196
Fax Number
931-456-1047
person
Provider Business Mailing Address Details
Address
1503 S Main St
City
Crossville
State
Tennessee
Zip
38555-5967
Phone Number
931-484-6196
Fax Number
931-456-1047
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MD21614 (Tennessee)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
21614 (Tennessee)
Definition
Definition to come...
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