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Organization

HOLLINGSWORTH MEDICAL, LLC

Active
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Organization

HOLLINGSWORTH MEDICAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH A HOLLINGSWORTH MD (MEMBER)
(260) 409-2422
Entity
Organization

Contact information

Practice address
500 WILLIAMS ST, ANGOLA, IN 46703-1144
(260) 665-2161
Mailing address
3360 RIDERS TRL, FORT WAYNE, IN 46814-0005
(260) 409-2422

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
08/12/2019
Last updated
08/12/2019
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