Individual
WARREN H HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4401 WATERMELON RD, NORTHPORT, AL 35473-5197
(205) 343-2811
(205) 391-0900
Mailing address
4401 WATERMELON RD, NORTHPORT, AL 35473-5197
(205) 343-2811
(205) 391-0900
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
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