Holley, Andy Wade
Holley, Andy Wade is an individual health care provider with primary practice located at 703 Alcorn Dr Ste 102 , Corinth MS 38834-9302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Holley, Andy Wade can be contacted via phone (662) 286-2522.Contact Information
Primary practice address
703 Alcorn Dr Ste 102
Corinth MS 38834-9302
Phone: (662) 286-2522
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 5474 | Tennessee |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 23290 | Mississippi |
Profile Details
| NPI number | 1700020005 |
|---|---|
| LBN Legal business name | Holley, Andy Wade |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2009 |
| Last updated | Nov 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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