Organization
RESTORATION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BOLLING MD (OWNER)
(205) 442-4986
Entity
Organization
Contact information
Practice address
100 TOWNCENTER BLVD STE 111, TUSCALOOSA, AL 35406-1832
(205) 330-8820
Mailing address
PO BOX 1005, FAYETTE, AL 35555-1090
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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