Individual
KATHRYN E BOLLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2020
Mailing address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
062819
GA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
62819
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2741475
—
OH
Enumeration date
06/29/2007
Last updated
02/10/2023
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