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NPI Code Detail

MEDICARE: HOLLY MCINTIRE M.D.

MEDICARE: HOLLY MCINTIRE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZD0900XDermatopathology (Pathology) Physician21032MS
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician31488AL
3207ZP0102XAnatomic Pathology & Clinical Pathology Physician21032MS
4207ZD0900XDermatopathology (Pathology) Physician31488AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043519838
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY MCINTIRE M.D.
Provider Business Mailing Address
First Line : 1010 AIRPARK CENTER DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37217-5200
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3512 OLD MONTGOMERY HWY
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35209-5706
Country : US
Telephone Number : 205-879-2260
Fax Number : 205-879-2261
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2011
Last Update Date : 06/10/2021

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