| 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. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 03/23/2006 |
| Last Update Date | 05/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245290451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |