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Individual

ANDY WADE HOLLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
703 ALCORN DR STE 102, CORINTH, MS 38834-9302
(662) 286-2522
Mailing address
1710 FIELDSTONE FARMS RD, CORINTH, MS 38834-7561
(662) 678-6202

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23290
MS
208600000X
Surgery Physician
5474
TN

Other

Enumeration date
04/30/2009
Last updated
11/07/2023
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