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Individual

BRIAN CARL HOLLIMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
5001 HARDY ST, HATTIESBURG, MS 39402-1308
(601) 296-3600
Mailing address
5001 HARDY ST, HATTIESBURG, MS 39402-1308
(601) 296-3600

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R852028
MS

Other

Enumeration date
10/27/2009
Last updated
10/27/2009
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