MEDICARE: MR. JEFFREY BOLLING NMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175F00000X	Naturopath	12744	MS

General Provider Information

NPI Number	:	1740956317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JEFFREY BOLLING NMD

Provider Business Mailing Address
First Line	:	122 5TH ST N
Second Line	:
City	:	COLUMBUS
State	:	MS
Zip	:	39701-4522
Country	:	US
Telephone Number	:	205-702-6209
Fax Number	:	813-436-8756

Provider Business Practice Location Address
First Line	:	122 5TH ST N
Second Line	:
City	:	COLUMBUS
State	:	MS
Zip	:	39701-4522
Country	:	US
Telephone Number	:	205-702-6209
Fax Number	:	813-436-8756

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2021
Last Update Date	:	12/21/2025

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Directions to “ MR. JEFFREY BOLLING NMD” Practice Location

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