Individual
DR. MAUREEN HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8950 LORRAINE RD STE A, GULFPORT, MS 39503-4183
(228) 396-3238
(601) 496-8103
Mailing address
2500 NORTH STATE STREET, JMM SUITE 2525, JACKSON, MS 39216-4500
(601) 815-9528
(601) 984-6439
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14379
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114913
—
MS
Enumeration date
08/20/2006
Last updated
04/05/2018
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