Organization
RUDOLPH BOLLING PSYCHIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI J RUDOLPH BOLLING MD (PSYCHIATRIST/ OWNER)
(615) 828-1402
Entity
Organization
Contact information
Practice address
201 BEACON PKWY W STE 201, BIRMINGHAM, AL 35209-3129
(615) 828-1402
Mailing address
201 BEACON PKWY W STE 201, BIRMINGHAM, AL 35209-3129
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
30986
AL
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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