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NPI Code Detail

MEDICARE: APRIL LYNN HOLLOWELL MT

MEDICARE:   APRIL LYNN HOLLOWELL  MT
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
1225700000XMassage Therapist17765NC

General Provider Information

NPI Number : 1417580937
Entity Type Code : Individual
Provider Name (Legal Business Name) : APRIL LYNN HOLLOWELL MT
Provider Business Mailing Address
First Line : 5815 SPREADING BRANCH RD
Second Line :
City : HOPE MILLS
State : NC
Zip : 28348-1940
Country : US
Telephone Number : 910-818-5971
Fax Number :
Provider Business Practice Location Address
First Line : 5815 SPREADING BRANCH RD
Second Line :
City : HOPE MILLS
State : NC
Zip : 28348-1940
Country : US
Telephone Number : 910-818-5971
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2020
Last Update Date : 02/13/2020

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Directions to “ APRIL LYNN HOLLOWELL MT” Practice Location

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