MEDICARE: BILL B HOLLINS DO

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
1	207R00000X	Internal Medicine Physician	D0272	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2605225	OTHER	TN	CIGNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	9814	OTHER		BLUE CROSS

General Provider Information

NPI Number	:	1831296359
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BILL B HOLLINS DO

Provider Business Mailing Address
First Line	:	4450 NEW MANCHESTER HWY
Second Line	:
City	:	TULLAHOMA
State	:	TN
Zip	:	37388-6756
Country	:	US
Telephone Number	:	931-455-7590
Fax Number	:

Provider Business Practice Location Address
First Line	:	4450 NEW MANCHESTER HWY
Second Line	:
City	:	TULLAHOMA
State	:	TN
Zip	:	37388-6756
Country	:	US
Telephone Number	:	931-455-7590
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2006
Last Update Date	:	01/24/2017

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Directions to “ BILL B HOLLINS DO” Practice Location

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