Organization
HOLLANDALE FAMILY CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN L HERZOG SR. M.D. (PRESIDENT)
(662) 843-6034
Entity
Organization
Contact information
Practice address
1257 HIGHWAY 61 SOUTH, HOLLANDALE, MS 38748
(662) 827-2214
(662) 827-5019
Mailing address
PO BOX 5368, GREENVILLE, MS 38704-5368
(662) 827-2214
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/23/2006
Last updated
05/20/2021
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