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Individual

CLINTON T HOLLADAY

Active
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Individual

CLINTON T HOLLADAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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