Individual
MR. HOLSEY ANTHONY DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1680 MONTGOMERY HWY, HOOVER, AL 35216-4906
(205) 979-0888
(205) 979-4110
Mailing address
2147 RIVERCHASE OFFICE RD, BIRMINGHAM, AL 35244-1836
(205) 403-8902
(205) 421-2121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25443
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009946045
—
AL
01
—
051516937
BLUE CROSS BLUE SHIELD
AL
01
—
P00111834
RAILROAD MEDICARE
AL
Enumeration date
03/14/2006
Last updated
09/20/2012
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