| NPI | 1164680914 |
|---|---|
| Doing Business As | SOUTHEASTERN PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | ROBERT P BOLLING Owner 205-330-8820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AL 24251) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2025-05-23 |