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DR. JERRY MICHAEL HOLLINGSWORTH D.O.
Adult Medicine >> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1942244736
Individual Registrant:DR. JERRY MICHAEL HOLLINGSWORTH D.O.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
867 LEE RD. 248 SMITHS, AL 36877 US
Tel: 334-291-8400 Fax: 334-291-8409
Tel: 334-291-8400 Fax: 334-291-8409
Contact information for business:
867 LEE RD 248 PO BOX 1417 SMITHS, AL 36877 US
Tel: 334-291-8400 Fax: 334-291-8409
Tel: 334-291-8400 Fax: 334-291-8409
Registration Information:
NPI: 1942244736
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207QA0505X | Allopathic & Osteopathic Physicians Family Medicine Adult Medicine | AL | D0497 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| CIGNA | 1223358 | AL | 01 |
