Individual provider · NPI-1
Dr. Chip D Holbrook, md
Family Medicine · Mendenhall, MS
NPI number1962546192
StatusActive
Last updated in NPPESApr 17, 2008
Details
- NPI
- 1962546192
- Entity type
- Individual (NPI-1)
- Name
- Dr. Chip D Holbrook
- Credential
- md
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 19, 2007
- Last updated
- Apr 17, 2008
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
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