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NPI Code Detail

MEDICARE: HOLLEY MCALLISTER

MEDICARE: HOLLEY MCALLISTER
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1336658541
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLEY MCALLISTER
Provider Business Mailing Address
First Line : 6100 VETERANS PKWY STE 11
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-3514
Country : US
Telephone Number : 706-221-8966
Fax Number :
Provider Business Practice Location Address
First Line : 6100 VETERANS PKWY STE 11
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-3514
Country : US
Telephone Number : 706-221-8966
Fax Number : 706-221-8966
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2017
Last Update Date : 09/20/2017

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Directions to “ HOLLEY MCALLISTER ” Practice Location

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