# ONSITE HOUSE CALL CLINIC

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

## Provider details

- **NPI number:** 1922713544
- **Authorized official:** HEATHER LEIGH HOLLOWAY NP (DIRECTOR)
- **Authorized official phone:** (662) 801-2826

## Contact information

- **Practice address:** 40114 GRUBB SPRINGS RD, HAMILTON, MS 39746-9616
- **Practice address phone:** (662) 356-1511
- **Practice address fax:** (662) 356-1711
- **Mailing address:** 40114 GRUBB SPRINGS RD, HAMILTON, MS 39746-9616
- **Mailing address phone:** (662) 356-1511
- **Mailing address fax:** (662) 356-1711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2023
- **Last updated:** 02/05/2023