# RUDOLPH BOLLING PSYCHIATRY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902216203
- **Authorized official:** BRANDI J RUDOLPH BOLLING MD (PSYCHIATRIST/ OWNER)
- **Authorized official phone:** (615) 828-1402

## Contact information

- **Practice address:** 201 BEACON PKWY W STE 201, BIRMINGHAM, AL 35209-3129
- **Practice address phone:** (615) 828-1402
- **Mailing address:** 201 BEACON PKWY W STE 201, BIRMINGHAM, AL 35209-3129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 30986 | AL | Yes |

## Other

- **Enumeration date:** 05/07/2014
- **Last updated:** 05/07/2014