Individual
AMY HOLLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
507 LAKELAND PL, BRANDON, MS 39047-8257
(601) 992-2200
(601) 992-4333
Mailing address
507 LAKELAND PL, BRANDON, MS 39047-8257
(601) 992-2200
(601) 992-4333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15461
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0120887
—
MS
Enumeration date
08/07/2006
Last updated
07/08/2007
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