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Contact Information

HOLLYE R JOHNSON, MD
6501 DOGWOOD VIEW PARKWAY
SUITE A
JACKSON, MS39213
 Phone: 601-899-3340
 Fax: 601-899-3343
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for HOLLYE R JOHNSON · (Female)

NPI Number 1700815321
Status Active
Credentials MD
Entity Individual
Enumeration date 07/03/2006
Last updated 04/27/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 15974
  • MS Medicaid 04056301
Hospital affiliation(s)
  • CENTRAL MISSISSIPPI MEDICAL CENTER - (Acute Care)
    1850 CHADWICK DR
    JACKSON, MS 39204
  • MISSISSIPPI BAPTIST MEDICAL CENTER - (Acute Care)
    1225 N STATE ST
    JACKSON, MS 39202
  • ST DOMINIC-JACKSON MEMORIAL HOSPITAL - (Acute Care)
    969 LAKELAND DR
    JACKSON, MS 39216
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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