Hollandale Family Care

NPI #1790237345 in Hollandale, Mississippi

Provider Information

NPI Number
1790237345
Entity Type
Organization
Organization Name
Hollandale Family Care
Subpart
Yes (part of a larger organization)
Parent Organization
DELTA HEART AND VASCULAR
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Oct 31, 2016
Last Updated
Oct 31, 2016

Practice Location

Address
1257 HIGHWAY 61 S
ZIP Code
38748-3864
Phone
(662) 827-2214

Authorized Official

Name
MR. STANLEY J MCGAUGH
Title
OFFICE MANAGER
Phone
(662) 335-0183

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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