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Randall J. Bolar, MD, PLC

NPI 1316973522ActiveOrganization· Surgery· Clarksville, TN

Surgery in Clarksville, Tennessee, registered in NPPES in June 2006. The authorized official on file is Randall J. Bolar, M.D., Sole Member.

Overview

NPI1316973522
StatusActive
Entity typeOrganization
NPI issuedJun 23, 2006
Last updated in NPPESFeb 23, 2009

Specialties and licenses

TaxonomyCodeLicenseState
Surgery Primary208600000X34949TN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

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Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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