Individual
LINCOLN A HOLDAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7149 BLACK SHEEP RUN RD, FORT CAMPBELL, KY 42223
(706) 414-8361
Mailing address
7149 BLACK SHEEP RUN RD, FORT CAMPBELL, KY 42223
(706) 414-8361
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01067398A
IN
Other
Enumeration date
11/19/2008
Last updated
08/29/2011
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