Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southeastern Plastic Surgery, LLC

Organization Plastic Surgery Physician · NPI 1174447726

Southeastern Plastic Surgery, LLC is a Plastic Surgery Physician in Tuscaloosa, Alabama. Works from 3 locations. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 Towncenter Blvd Ste 111D
Tuscaloosa, AL 35406-1832
Phone: (205) 330-8820
Fax: (205) 333-2515
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1035 Temple Ave N, Fayette, AL 35555-1923 — (205) 748-0158
  • 15225 Highway 43 Ste I, Russellville, AL 35653-1969 — (205) 748-0158

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1174447726
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Bolling — Md/Owner · (205) 442-4986
Other names Robert P Bolling
NPI enumeratedAugust 6, 2026
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026
Mailing addressPo Box 1005, Fayette, AL 35555-1090

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