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NPI Code Detail

MEDICARE: DR. JULIA MICHELLE BOLL M.D.

MEDICARE: DR. JULIA MICHELLE BOLL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician52967TN
22086S0129XVascular Surgery Physician52967TN

General Provider Information

NPI Number : 1629393004
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIA MICHELLE BOLL M.D.
Provider Business Mailing Address
First Line : 4230 HARDING PIKE STE 705
Second Line :
City : NASHVILLE
State : TN
Zip : 37205-2013
Country : US
Telephone Number : 615-385-1547
Fax Number : 615-297-9161
Provider Business Practice Location Address
First Line : 4230 HARDING PIKE STE 705
Second Line :
City : NASHVILLE
State : TN
Zip : 37205-2013
Country : US
Telephone Number : 615-385-1547
Fax Number : 615-297-9161
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2010
Last Update Date : 02/05/2026

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