Organization
SOUTHEASTERN PLASTIC SURGERY, LLC
Active
Other names
Robert P Bolling
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT P BOLLING MD (MD/OWNER)
(205) 442-4986
Entity
Organization
Contact information
Practice address
100 TOWNCENTER BLVD STE 111D, TUSCALOOSA, AL 35406-1832
(205) 330-8820
(205) 333-2515
Mailing address
PO BOX 1005, FAYETTE, AL 35555-1090
(205) 748-0158
(205) 932-4159
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
08/06/2026
Last updated
08/06/2026
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