Holladay, Rodney L
Holladay, Rodney L is an individual health care provider with primary practice located at 165 Drive Whitesport Drive Ste 3, Huntsville AL 35801. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Holladay, Rodney L can be contacted via phone (256) 429-4956.Contact Information
Primary practice address
165 Drive Whitesport Drive Ste 3
Huntsville AL 35801
Phone: (256) 429-4956
Fax: (256) 429-7643
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | MD14386 | Tennessee |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 14386 | Tennessee |
Profile Details
NPI number | 1881679488 |
---|---|
LBN Legal business name | Holladay, Rodney L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 7th, 2005 |
Last updated | Feb 25th, 2024 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1881679488 | NPPES |
Tennessee | MEDICAID | 3003722 | |
Tennessee | MEDICAID | 00112325 |
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