Individual
DR. ROBERT HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27 MEDICAL CENTER DR, JACKSON, TN 38301-3949
(731) 424-1001
Mailing address
2020 EXETER RD, GERMANTOWN, TN 38138-3945
(901) 747-3630
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
24538
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100008392
RAILROAD MEDICARE
TN
01
—
170088
BCBS PROVIDER NUMBER
TN
05
—
3076068
—
TN
01
—
4472668
AETNA PROVIDER NUMBER
TN
01
—
8165
TLC PROVIDER NUMBER
TN
01
—
8262001
CIGNA HEALTHCARE
TN
Enumeration date
05/17/2006
Last updated
06/29/2022
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