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DR. JERRY MICHAEL HOLLINGSWORTH D.O.

Adult Medicine >> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1942244736

Individual Registrant:
DR. JERRY MICHAEL HOLLINGSWORTH D.O.
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

Contact information for business:
867 LEE RD 248 PO BOX 1417 SMITHS, AL 36877 US
Tel: 334-291-8400  Fax: 334-291-8409

Registration Information:
NPI: 1942244736
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207QA0505XAllopathic & Osteopathic Physicians
Family Medicine
Adult Medicine
ALD0497

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CIGNA1223358AL01




HEALTH CARE JOBS AL - Page 1



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