# COLON & RECTAL SURGERY CLINIC, P. C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871795625
- **Authorized official:** DR. DONALD WAYNE HOLLENSWORTH MD (PRESIDENT)
- **Authorized official phone:** (251) 433-2265

## Contact information

- **Practice address:** 1733 SPRING HILL AVE, MOBILE, AL 36604-1402
- **Practice address phone:** (251) 433-2265
- **Practice address fax:** (251) 433-1209
- **Mailing address:** 1733 SPRING HILL AVE, MOBILE, AL 36604-1402
- **Mailing address phone:** (251) 433-2265
- **Mailing address fax:** (251) 433-1209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208C00000X | Colon & Rectal Surgery Physician | 00005635 | AL | Yes |

## Other

- **Enumeration date:** 06/04/2007
- **Last updated:** 08/22/2020
