Organization
HOLLY SPRINGS FAMILY MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY D WILLIAMS II DNP, FNP-C (OWNER)
(662) 274-3212
Entity
Organization
Contact information
Practice address
130 W VAN DORN AVE, HOLLY SPRINGS, MS 38635-2902
(662) 274-3212
(662) 274-3213
Mailing address
130 W VAN DORN AVE, HOLLY SPRINGS, MS 38635-2902
(662) 274-3212
(662) 274-3213
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/17/2022
Last updated
09/01/2022
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