Individual
JASON L HOLLINGSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
186 HOSPITAL DR, CAMDEN, TN 38320-1618
(731) 584-3151
(731) 584-3168
Mailing address
1804 HIGHWAY 45 BYP, STE 604, JACKSON, TN 38305-4436
(731) 584-3151
(731) 584-3168
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13614
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3002034
—
TN
05
—
3002037
—
TN
01
—
4114640
BCBS
—
01
—
P00271743
RR MEDICARE
—
Enumeration date
07/11/2006
Last updated
01/25/2016
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