Bruce Richard Bolling, md
Specialist in Winston Salem, NC. Individual provider (NPI-1).
NPI number1720195571
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1720195571
- Entity type
- Individual (NPI-1)
- Name
- Mr. Bruce Richard Bolling
- Credential
- md
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 25, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 592 | NC | Yes |
Practice location
3001 Maplewood AveWinston Salem, NC 27103-4020
Phone 336-659-9440 · Fax 336-659-9845
Mailing address
3001 Maplewood AveWinston Salem, NC 27103-4020
Phone 336-659-9440 · Fax 336-659-9845
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