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Individual

DR. LEANNA L. HOLLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5221B CLIFF GOOKIN BLVD, TUPELO, MS 38801-6781
(662) 620-8123
Mailing address
5221B CLIFF GOOKIN BLVD, TUPELO, MS 38801-6781
(662) 620-8123

Taxonomy

Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
11380
MS
207R00000X
Internal Medicine Physician
11380
MS

Other

Enumeration date
09/09/2008
Last updated
01/19/2010
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