| Organization Name: | ROBERT P. BOLLING, MD, LLC |
| NPI Number: | 1164680914 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT P. BOLLING (OWNER) |
| Mailing Address: | 1035 Temple Ave N Fayette |
| State: | AL US |
| Postal Code: | 355551923 |
| Phone Number: | 2057480158 |
| Fax Number: | 2059324159 |
| NPI Enumeration Date: | 05/29/2008 |
| NPI Last Update Date: | 07/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0122X |
| License Number: | 24251 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Plastic and Reconstructive Surgery |
| Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |