Organization
ROLAND HOLLIS MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN LYNETTE HOLLIS LPN (OFFICE MANAGER)
(870) 236-1014
Entity
Organization
Contact information
Practice address
400 HIGHWAY 49 N, SUITE 2, PARAGOULD, AR 72450-4007
(870) 236-1014
(870) 236-9669
Mailing address
400 HIGHWAY 49 N, SUITE 2, PARAGOULD, AR 72450-4007
(870) 236-1014
(870) 236-9669
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117653001
—
AR
Enumeration date
08/02/2005
Last updated
10/19/2007
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