Chambliss, Holly Diane
Chambliss, Holly Diane is an individual health care provider with primary practice located at 750 Peter Bryce Blvd , Tuscaloosa AL 35401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Chambliss, Holly Diane can be contacted via phone (205) 348-6262.Contact Information
Primary practice address
750 Peter Bryce Blvd
Tuscaloosa AL 35401
Phone: (205) 348-6262
Fax: (205) 486-5232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD33201 | Alabama |
Profile Details
| NPI number | 1447519400 |
|---|---|
| LBN Legal business name | Chambliss, Holly Diane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2012 |
| Last updated | Nov 14th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447519400 | NPPES |
| Alabama | MEDICAID | 176472 |
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