Individual
CLINTON T HOLLADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 PRINCETON AVE SW, BIRMINGHAM, AL 35211-1303
(205) 783-3000
(205) 871-4301
Mailing address
2000A SOUTHBRIDGE PKWY, STE 300, BIRMINGHAM, AL 35209-7718
(205) 871-4274
(205) 871-4301
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
00027196
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009935488
—
AL
05
—
009936291
—
AL
05
—
009936292
—
AL
05
—
009936293
—
AL
01
—
511-65663
BLUE CROSS
AL
01
—
515-33331
BLUE CROSS
AL
01
—
515-33333
BLUE CROSS
AL
01
—
P00338341
RRMC
AL
Enumeration date
05/11/2006
Last updated
12/30/2015
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