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
Fax: (256) 429-7643
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881679488 NPPES
Tennessee MEDICAID 3003722
Tennessee MEDICAID 00112325

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