Organization
BROOKHAVEN CHILDREN'S CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES M HOLLAND M.D. (OWNER)
(601) 835-2100
Entity
Organization
Contact information
Practice address
624 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2337
(601) 835-2100
(601) 835-0451
Mailing address
624 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2337
(601) 835-2100
(601) 835-0451
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11043
MS
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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