Provider Demographics
NPI:1982751509
Name:HOLLEY, ELIZABETH M (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:M
Last Name:HOLLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1830 14TH AVENUE SOUTH
Mailing Address - Street 2:
Mailing Address - City:BHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205
Mailing Address - Country:US
Mailing Address - Phone:205-933-2250
Mailing Address - Fax:205-933-2221
Practice Address - Street 1:833 ST. VINCENTS DR. STE 401
Practice Address - Street 2:
Practice Address - City:BHAM
Practice Address - State:AL
Practice Address - Zip Code:35205
Practice Address - Country:US
Practice Address - Phone:205-933-2250
Practice Address - Fax:205-933-2221
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2013-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.026739207W00000X
AL28892207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology