Jodie Susan Holloway in Mandeville - Legal Medicine
Jodie Susan Holloway - NPI 1992921688
Jodie Susan Holloway is a Legal Medicine in Mandeville, Louisiana. Jodie Susan Holloway practices all healthcare services and medical treatments related to Legal Medicine. The NPI Number for Jodie Susan Holloway is 1992921688. The last update date is 2007-07-08.
Jodie Susan Holloway's current location address is 112 Random Oaks Ln, Mandeville, Louisiana. You can contact this provider via phone number 9856740988 and fax number 9856745308. The mailing address for Jodie Susan Holloway is 112 Random Oaks Ln, Mandeville, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jodie Susan Holloway |
|---|---|
| Address | 112 Random Oaks Ln, Mandeville, Louisiana |
| Phone Number | 9856740988 |
| Fax Number | 9856745308 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1992921688 |
|---|---|
| Provider Enumeration Date | 2007-04-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 112 Random Oaks Ln |
|---|---|
| City | Mandeville |
| State | Louisiana (LA) |
| Post Code | 704484565 |
| Phone Number | 9856740988 |
| Fax Number | 9856745308 |
Provider's Primary Taxonomy Detail
| Speciality | Legal Medicine |
|---|---|
| Taxonomy | 173000000X |
| Licence No | 19557 |
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Definition: The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judici |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1932744 | LA | -- |
Post Comment/ Review Below
What is the Jodie Susan Holloway's 1992921688?
The Jodie Susan Holloway's NPI (National Provider Identifier) Number is 1992921688. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jodie Susan Holloway's physical address?
The Jodie Susan Holloway is physically located at 112 Random Oaks Ln, in the city of Mandeville, LA, with the postal code 704484565.
What is Jodie Susan Holloway's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jodie Susan Holloway's area of specialization is Legal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 173000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1992921688 to Jodie Susan Holloway?
The Jodie Susan Holloway received its 1992921688 assignment from the Centers for Medicare & Medicaid Services on 2007-04-18.
As of what date were the Jodie Susan Holloway's details last updated?
The information pertaining to the Jodie Susan Holloway, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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