Holbrook Family Medical Practice, INC.
Family Medicine in Mendenhall, MS. Organization (NPI-2).
NPI number1760526990
StatusActive
Last updated in NPPESApr 8, 2011
Details
- NPI
- 1760526990
- Entity type
- Organization (NPI-2)
- Legal business name
- Holbrook Family Medical Practice, INC.
- Organization subpart
- No
- Enumeration date
- Feb 19, 2007
- Last updated
- Apr 8, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 14412 | MS | Yes |
Practice location
102 Oak StMendenhall, MS 39114-3650
Phone 601-847-3712
Mailing address
102 Oak StMendenhall, MS 39114-3650
Phone 601-847-3712
Authorized official
Chip D Holbrook
Owner
6018473712
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Family Medicine providers in Mendenhall, MS
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.