Individual
JOHN HOLLINGSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101A YORK CROSSING RD, GRAFTON, VA 23692-2737
(757) 898-7737
(757) 898-8377
Mailing address
860 OMNI BLVD, SUITE 303, NEWPORT NEWS, VA 23606-4430
(757) 232-8777
(757) 232-8866
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101045245
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080044411
RR MEDICARE
VA
01
—
096576
ANTHEM
VA
05
—
5634202
—
VA
Enumeration date
06/27/2005
Last updated
08/25/2011
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