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NPI Code Detail

MEDICARE: DR. HOLMAN LI DO

MEDICARE:  DR. HOLMAN  LI  DO
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
1207RC0200XCritical Care Medicine (Internal Medicine) PhysicianDO2431AL

General Provider Information

NPI Number : 1811450679
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HOLMAN LI DO
Provider Business Mailing Address
First Line : 4370 W MAIN ST
Second Line :
City : DOTHAN
State : AL
Zip : 36305-4000
Country : US
Telephone Number : 334-793-5000
Fax Number :
Provider Business Practice Location Address
First Line : 4370 W MAIN ST
Second Line :
City : DOTHAN
State : AL
Zip : 36305-4000
Country : US
Telephone Number : 334-793-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2019
Last Update Date : 06/10/2026

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Directions to “ DR. HOLMAN LI DO” Practice Location

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