# ROLAND HOLLIS MD

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

## Provider details

- **NPI number:** 1962403956
- **Authorized official:** MRS. ROBIN LYNETTE HOLLIS LPN (OFFICE MANAGER)
- **Authorized official phone:** (870) 236-1014

## Contact information

- **Practice address:** 400 HIGHWAY 49 N, SUITE 2, PARAGOULD, AR 72450-4007
- **Practice address phone:** (870) 236-1014
- **Practice address fax:** (870) 236-9669
- **Mailing address:** 400 HIGHWAY 49 N, SUITE 2, PARAGOULD, AR 72450-4007
- **Mailing address phone:** (870) 236-1014
- **Mailing address fax:** (870) 236-9669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/02/2005
- **Last updated:** 10/19/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 117653001 | — | AR |