Hollandale Family Care, P.c. | |
1257 Highway 61 South Hollandale MS 38748 | |
(662) 827-2214 | |
(662) 827-5019 |
Full Name | Hollandale Family Care, P.c. |
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Speciality | Clinic/center - Rural Health |
Location | 1257 Highway 61 South, Hollandale, Mississippi |
Authorized Official Name and Position | John L Herzog (PRESIDENT) |
Authorized Official Contact | 6628436034 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hollandale Family Care, P.c. Po Box 5368 Greenville MS 38704-5368 Ph: (662) 827-2214 | Hollandale Family Care, P.c. 1257 Highway 61 South Hollandale MS 38748 Ph: (662) 827-2214 |
NPI Number | 1245290451 |
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Provider Enumeration Date | 03/23/2006 |
Last Update Date | 05/20/2021 |
Identifier | Type | State | Issuer |
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1245290451 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |