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Individual
DR. LYNWOOD BREEDEN HOLLIS JR.
Active
Individual
DR. LYNWOOD BREEDEN HOLLIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
16471
SC
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
16471
SC
Other
Enumeration date
05/01/2006
Last updated
02/19/2021
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