Individual
DAVID ALAN HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
148 J C MAULDIN HIGHWAY, KILLEN, AL 35645
(256) 757-5353
(256) 757-9744
Mailing address
PO BOX 309, 148 J C MAULDIN HIGHWAY, KILLEN, AL 35645-0309
(256) 757-5353
(256) 757-9744
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11228
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891914362
GROUP NPI
—
01
—
63-0944359
TAX ID #
AL
Enumeration date
10/31/2005
Last updated
06/02/2008
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