Organization
HOLLOWAY PSYCHIATRIC SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L HAMMOND (OFFICE MANAGER)
(601) 607-5107
Entity
Organization
Contact information
Practice address
742D MAGNOLIA ST, MADISON, MS 39110-8903
(601) 607-5107
(601) 607-5109
Mailing address
742D MAGNOLIA ST, MADISON, MS 39110-8903
(601) 607-5107
(601) 607-5109
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
16327
MS
2084P0800X
Psychiatry Physician
Primary
16327
MS
2084P0802X
Addiction Psychiatry Physician
16327
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801997127
NPI
—
Enumeration date
12/17/2008
Last updated
12/18/2008
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