Individual
PAUL HOLLINGSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-4314
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-4314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PGY.202720
LA
208M00000X
Hospitalist Physician
Primary
PGY.202720
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2014
Last updated
05/21/2019
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