Individual
DR. SAMUEL HOLLINGSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 N SENATE BLVD, STE 400, INDIANAPOLIS, IN 46202-1245
(317) 962-5581
(317) 962-5859
Mailing address
950 N MERIDIAN ST, STE 500, INDIANAPOLIS, IN 46204-3908
(317) 962-4941
(317) 962-4950
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01032077
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100236860
—
IN
Enumeration date
06/14/2006
Last updated
10/06/2010
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