Individual
DR. IRA HAWKINS HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18704 HIGHWAY 11 N, VANCE, AL 35490-2434
(205) 481-8510
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-0777
(205) 481-7670
(205) 481-7573
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00003739
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009941419
—
AL
01
—
0410640
MEDICARE COMPLETE
AL
01
—
051004951
BLUE CROSS
AL
01
—
C71700
VIVA HEALTH
AL
Enumeration date
09/19/2006
Last updated
11/06/2012
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