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NPI Provider: 1174528616
Contact Name: Perkins Lela
Position: Managing Administrator
Phone: (662) 827-7568
Hollandale Primary Care, Inc. Information:
Hollandale Primary Care, Inc. organization have npi 1174528616, taxonomy code is 261QH0100X with license number is D0045260 in . This Business address located in PO Box 247, Hollandale, MS 38748 Mississippi. Get directions of Hollandale Primary Care, Inc..
Practice Location
Address: 1257 Hwy 61 South, Hollandale, MS 38748
Phone: (662) 827-2214
Business Location
Address: PO Box 247, Hollandale, MS 38748
Phone: (662) 827-2214
Fax: (662) 827-5019
Taxonomy
Taxonomy Code: 261QH0100X
License Number: D0045260
License Number of State: MD
Primary Taxonomy Switch: Y
Enumeration Date: 6/20/2005
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