Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 07359 | AL |
NPI | 1144257007 |
---|---|
Provider Name | Robert L Holley |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35233 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 08/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009916345 | (05) | AL |
009916355 | (05) | AL |
009937543 | (05) | AL |
009943865 | (05) | AL |
009967835 | (05) | AL |
051082175 | BLUE CROSS (01) | AL |
051514637 | BLUE CROSS (01) | AL |
051520009 | BLUE CROSS (01) | AL |
051524517 | BLUE CROSS (01) | AL |
07021093 | (05) | MS |
160014592 | RAILROAD MEDICARE (01) | AL |