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Individual

REBECCA E HOLLINGSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, GNP-BC, FNP-BC

Contact information

Practice address
20 RAWLS SPRINGS LOOP RD, HATTIESBURG, MS 39402-7801
(601) 582-6069
(601) 579-4842
Mailing address
501 YELLOW PINE DR, PETAL, MS 39465-9558
(601) 270-4476

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
R790914
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01671306
MS
Enumeration date
06/30/2010
Last updated
02/13/2019
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