Individual
PHILLIP HOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4837 LAPALCO BLVD, MARRERO, LA 70072-4325
(504) 703-3260
(504) 703-3243
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2020016969
MO
207R00000X
Internal Medicine Physician
Primary
336040
LA
Other
Enumeration date
06/17/2020
Last updated
08/09/2023
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