Individual
DR. JERRY MICHAEL HOLLINGSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
867 LEE RD. 248, SMITHS, AL 36877
(334) 291-8400
(334) 291-8409
Mailing address
867 LEE RD 248, PO BOX 1417, SMITHS, AL 36877
(334) 291-8400
(334) 291-8409
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
D0497
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1223358
CIGNA
AL
Enumeration date
06/15/2006
Last updated
07/20/2007
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