Organization
HOLLEY MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HOLLEY (VICE PRESIDENT)
(334) 566-7963
Entity
Organization
Contact information
Practice address
513 S BRUNDIDGE ST, TROY, AL 36081-3333
(334) 566-7963
(334) 566-0847
Mailing address
513 S BRUNDIDGE ST, TROY, AL 36081-3333
(334) 566-7963
(334) 566-0847
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
173
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56774
BC/BS PROVIDER NUMBER
AL
Enumeration date
06/18/2006
Last updated
11/02/2007
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