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NPI Code Detail

MEDICARE: DR. JOSEPH DRAKE HOLLIER MD

MEDICARE:  DR. JOSEPH DRAKE HOLLIER  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician017146LA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2100014892OTHERLAMEDICARE ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205819703
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH DRAKE HOLLIER MD
Provider Business Mailing Address
First Line : 301 4TH ST
Second Line : BOX 30146
City : ALEXANDRIA
State : LA
Zip : 71301
Country : US
Telephone Number : 318-473-8188
Fax Number : 318-473-8682
Provider Business Practice Location Address
First Line : 301 4TH ST
Second Line : STE 1-A
City : ALEXANDRIA
State : LA
Zip : 71301-8423
Country : US
Telephone Number : 318-473-8188
Fax Number : 318-473-8682
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2005
Last Update Date : 02/11/2011

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Directions to “ DR. JOSEPH DRAKE HOLLIER MD” Practice Location

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