Provider Demographics
NPI:1891727426
Name:HOLLIS, JAMES ROBERT JR (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ROBERT
Last Name:HOLLIS
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:3283 MALCOLM DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-8816
Mailing Address - Country:US
Mailing Address - Phone:334-272-3883
Mailing Address - Fax:334-272-3886
Practice Address - Street 1:201 WINTON M BLOUNT LOOP
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-3507
Practice Address - Country:US
Practice Address - Phone:334-272-3883
Practice Address - Fax:334-272-3886
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2022-01-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL0983111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T68445Medicare UPIN