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NPI Code Detail

MEDICARE: JOHN HOLLINGSWORTH M.D.

MEDICARE:   JOHN  HOLLINGSWORTH  M.D.
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
1207Q00000XFamily Medicine Physician0101045245VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1080044411OTHERVARR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2096576OTHERVAANTHEM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346246022
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN HOLLINGSWORTH M.D.
Provider Business Mailing Address
First Line : 860 OMNI BLVD
Second Line : SUITE 303
City : NEWPORT NEWS
State : VA
Zip : 23606-4430
Country : US
Telephone Number : 757-232-8777
Fax Number : 757-232-8866
Provider Business Practice Location Address
First Line : 101A YORK CROSSING RD
Second Line :
City : GRAFTON
State : VA
Zip : 23692-2737
Country : US
Telephone Number : 757-898-7737
Fax Number : 757-898-8377
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 08/25/2011

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Directions to “ JOHN HOLLINGSWORTH M.D.” Practice Location

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