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Individual

ROBERT L HOLLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
07359
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009916345
AL
05
009916355
AL
05
009937543
AL
05
009943865
AL
05
009967835
AL
01
051082175
BLUE CROSS
AL
01
051514637
BLUE CROSS
AL
01
051520009
BLUE CROSS
AL
01
051524517
BLUE CROSS
AL
05
07021093
MS
01
160014592
RAILROAD MEDICARE
AL
Enumeration date
06/27/2006
Last updated
09/08/2011
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