Holly Springs Family Medical Llc

LBN: Holly Springs Family Medical Llc
Holly Springs Family Medical Llc is an health care organization with primary practice located at 130 W Van Dorn Ave , Holly Springs MS 38635-2902. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Holly Springs Family Medical Llc can be contacted via phone (662) 274-3212, or through Williams, Jerry D via phone (662) 274-3212.

Contact Information

Primary practice address
130 W Van Dorn Ave Holly Springs MS 38635-2902
Phone: (662) 274-3212
Fax: (662) 274-3213
Website:
Map and Directions
Authorized official contact:
Name: Williams, Jerry D DNP, FNP-C
Phone: (662) 274-3212

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1518692342
LBN Legal business name Holly Springs Family Medical Llc
DBA Doing business as
Authorized official Williams, Jerry D DNP, FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2022
Last updated Sep 1st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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