Organization · Type 2 NPI
Hollandale Primary Care, Inc.
Health Service Clinic/Center · Hollandale, MS
NPI number
1174528616
Active
Practice location
1257 Hwy 61 South
Hollandale, MS 38748
Fax (662) 827-5019
Mailing address
PO Box 247
Hollandale, MS 38748-0247
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
About NPI 1174528616
Hollandale Primary Care, Inc.'s National Provider Identifier is 1174528616, issued on Jun 20, 2005. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Hollandale, MS. The record was last updated on Aug 22, 2020.