Individual
WARREN H HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
13116
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000089287
—
AL
01
—
060015749
RAILROAD MEDICARE
—
05
—
06575268
—
MS
01
—
209445
BLACK LUNG PROGRAM
—
01
—
51089287
BC/BS OF ALABAMA
AL
Enumeration date
08/31/2005
Last updated
03/01/2010
Update your record
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