Organization
KILLEN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A HOLLIS M.D. (PRESIDENT)
(256) 757-5353
Entity
Organization
Contact information
Practice address
148 J C MAULDIN HWY, KILLEN, AL 35645-9106
(256) 757-5353
(256) 757-9744
Mailing address
148 J C MAULDIN HWY, P O BOX 309, KILLEN, AL 35645-9106
(256) 757-5353
(256) 757-9744
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11228
AL
Other
Enumeration date
04/24/2007
Last updated
06/02/2008
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