Individual
MELVIN HOLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4919 JAMESTOWN AVE, SUITE 101-D, BATON ROUGE, LA 70808
(225) 268-2254
Mailing address
2248 DAWSON ROAD, JACKSON, LA 70748
(225) 721-1930
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000
—
LA
Enumeration date
11/15/2016
Last updated
11/15/2016
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