Individual
WILTON RUSSELL HOLMAN III
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
Mailing address
2000A SOUTHBRIDGE PKWY, STE 300, BIRMINGHAM, AL 35209-7718
(205) 871-4274
(205) 871-4301
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20544
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000055398
—
AL
05
—
009941749
—
AL
05
—
105489
—
AL
05
—
122606
—
AL
05
—
169815
—
AL
01
—
300113603
RRMC
AL
01
—
510-55398
BLUE CROSS
AL
01
—
511-09727
BLUE CROSS
AL
01
—
511-56374
BLUE CROSS
AL
01
—
515-39411
BLUE CROSS
AL
01
—
515-94523
BLUE CROSS
AL
01
—
7575354
AETNA
AL
Enumeration date
06/15/2005
Last updated
12/30/2015
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