William Spencer Bolt, PA-C

Physician Assistant · Jellico, TN

Individual Active NPI

NPI number 1891402103

Practice location

1390 5TH St
Jellico, TN 37762-2631
Phone
(931) 253-1110

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NPI record

NPI
1891402103
Entity type
Individual (Type 1)
Enumeration date
November 4, 2022
Last updated
November 4, 2022
Certified
November 4, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 5238 TN

About William Bolt

William Spencer Bolt, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1390 5TH St, Jellico, TN 37762-2631. The NPI number 1891402103 was assigned on November 4, 2022 and the record was last updated on November 4, 2022.

William Bolt lists a license in the registry: #5238 (TN) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of William Spencer Bolt, PA-C?

The NPI number is 1891402103.

What is the phone number of William Bolt?

The phone number listed for the practice location is (931) 253-1110.

Where is William Bolt located?

1390 5TH St, Jellico, TN 37762-2631.

What is the taxonomy code for William Bolt?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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