Individual
DR. SAMUEL JOSEPH HOLDINESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
332 HIGHWAY 12 W, KOSCIUSKO, MS 39090-3209
(662) 289-1800
(662) 289-2486
Mailing address
PO BOX 23996, JACKSON, MS 39225-3996
(601) 206-6100
(601) 206-6052
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33717
SC
208000000X
Pediatrics Physician
33717
SC
Other
Enumeration date
06/15/2011
Last updated
06/29/2015
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