Individual
HOLLAND M ADDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4045 EASTWOOD DR, JACKSON, MS 39211-6442
(601) 352-2273
Mailing address
4045 EASTWOOD DR, JACKSON, MS 39211-6442
(601) 352-2273
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
08984
MS
Other
Enumeration date
11/13/2006
Last updated
06/22/2021
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