NPI 1174447726

Southeastern Plastic Surgery, LLC

Organisation Plastic Surgery Physician Tuscaloosa, AL

Practice location

Address: 100 Towncenter Blvd STE 111d, Tuscaloosa, AL 35406-1832
Phone: (205) 330-8820
Fax: (205) 333-2515
Mailing address: PO Box 1005, Fayette, AL 35555-1090

Authorised official

Name: Robert P Bolling
Title: Md/Owner
Phone: (205) 442-4986

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Alabama →

Registry record

NPI: 1174447726
Entity type: Organization
NPI issued: 6 Aug 2026
Record last updated: 6 Aug 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.