Individual
DR. MATTHEW ALAN BOLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 10TH AVE STE 370, COLUMBUS, GA 31901
(706) 660-2562
Mailing address
1700 W TOWNLINE ST, CRESTON, IA 50801-1054
(641) 782-7091
(641) 782-3830
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
117627
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144405747
—
VA
Enumeration date
01/02/2008
Last updated
09/05/2018
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