Individual
NICHOLAS K BOLLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6144 AIRPORT BLVD, MOBILE, AL 36608-3143
(251) 476-5050
(251) 450-2770
Mailing address
6144 AIRPORT BLVD, MOBILE, AL 36608-3143
(251) 476-5050
(251) 450-2770
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PENDING
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363AM0700X
TAXONOMY
AL
Enumeration date
12/15/2017
Last updated
02/06/2018
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