Organization
ONSITE HOUSE CALL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER LEIGH HOLLOWAY NP (DIRECTOR)
(662) 801-2826
Entity
Organization
Contact information
Practice address
40114 GRUBB SPRINGS RD, HAMILTON, MS 39746-9616
(662) 356-1511
(662) 356-1711
Mailing address
40114 GRUBB SPRINGS RD, HAMILTON, MS 39746-9616
(662) 356-1511
(662) 356-1711
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
02/05/2023
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