Individual
DR. IRA HAWKINS HOLT
Active
Individual
DR. IRA HAWKINS HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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