Individual
HOLLYE R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6501 DOGWOOD VIEW PARKWAY, SUITE A, JACKSON, MS 39213
(601) 899-3340
(601) 899-3343
Mailing address
6501 DOGWOOD VIEW PARKWAY, SUITE A, JACKSON, MS 39213
(601) 899-3340
(601) 899-3343
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
15974
MS
207RN0300X
Nephrology Physician
Primary
15974
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04056301
—
MS
Enumeration date
07/03/2006
Last updated
04/27/2018
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