ROBERT LEE HOLLINGSWORTH


Address: 302 Mount Tabor Rd, Suite A, Red Springs, NC 28377-6415
Phone: 9108439991

ROBERT LEE HOLLINGSWORTH (NPI# 1164406922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164406922
Entity Type Individual
Full Name ROBERT LEE HOLLINGSWORTH
Credential MS,PAC
Practice Address 302 Mount Tabor Rd
Suite A
Red Springs
NC 28377-6415
Mailing Address 2600 N Elm St
Lumberton
NC 28358-3011
Practice Telephone 9108439991
Practice Fax Number 9108439995
Mailing Telephone 9106715367
Mailing Fax Number 9107383764
Enumeration Date 2005-12-05
Last Update Date 2017-04-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
100599 NC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 8101220 05

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Office Location

Street Address 302 MOUNT TABOR RD
SUITE A
City RED SPRINGS
State NC
Zip Code 28377-6415

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609481142 Robeson Health Care Corporation Pharmacy 302 Mount Tabor Rd, Red Springs, NC 28377-6415 2020-09-11
1407461106 Robeson Health Care Corporation Clinic/Center 302 Mount Tabor Rd, Red Springs, NC 28377-6415 2020-09-10
1336504018 Stephanie Oliver Nurse Practitioner 302 Mount Tabor Rd, Suite A, Red Springs, NC 28377-6415 2015-12-22
1427421601 Eme Odokama Registered Nurse 302 Mount Tabor Rd, Red Springs, NC 28377-6415 2015-11-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902432289 Caring Hand Transportation Company LLC Non-emergency Medical Transport (VAN) 551 North Mcphatter Road, Red Springs, NC 28377 2020-03-18
1629614946 Sally J. Jacobs Technician 401 Ashford Rd., Red Springs, NC 28377 2019-11-21
1770133910 Native Angels Total Property Management, LLC Home Health 11395 Hwy 211 W, Red Springs, NC 28377 2019-09-19
1073962718 Red Springs Old Main, Inc Pharmacy 300 S. Main Street, Red Srpings, NC 28377 2016-06-03
1174977094 Christopher Chapman Specialist/Technologist 509 North Vance Street, Red Springs, NC 28377 2016-04-17
1396066379 T & L Empowerment, Inc. Community/Behavioral Health 110 W. 2nd Ave, Red Springs, NC 28377 2010-06-14
1124275201 First Choice Comfort Care Agency Home Health 105 Lowery Rd, Red Springs, NC 28377 2008-08-20
1902076052 Carol C Jones Religious Nonmedical Nursing Personnel 3553 South Duffie Road, Red Springs, NC 28377 2008-03-05
1205044799 Cheryl R Locklear Dentist 239 S. Main Street, Red Springs, NC 28377 2007-05-18
1457401762 Douglas Jackson Dentist 714 E. 4th Ave, Red Springs, NC 28377 2007-01-11
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902403884 Billy Scott II Physician Assistant 3000 Rogers Rd Ste 100, Wake Forest, NC 27587-5745 2020-10-05
1982213765 Michaela Lynne Mcbride Physician Assistant 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 2020-07-28
1386260347 Elizabeth Warrington Maiche Physician Assistant 113 Montgomery Dr, Saluda, NC 28773-7787 2020-06-24
1831715663 John Wheary Physician Assistant 3233 Austin Ave, New Bern, NC 28562-7084 2020-06-17
1629692439 Julie Anne Augustine Physician Assistant 718 S Green St, Winston Salem, NC 27101-5112 2020-06-08
1659995710 Kristopher Neal Priddy Physician Assistant 405 Forest Hill Dr, Shelby, NC 28150-5520 2020-06-04
1710500558 Christian Wright Fulenwider Physician Assistant 104 Linden St, Morganton, NC 28655-3788 2020-05-27
1366065500 Lisa Lynn Carder Physician Assistant 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 2020-05-22
1982234282 Brandon Sorkin Physician Assistant 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 2020-01-25
1245860618 Robert Maughan Physician Assistant 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 2020-01-24
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Competitor

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City RED SPRINGS
Zip Code 28377

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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