1619284601 NPI number — HEALTH MANAGEMENT RESOURCES, P.A.

Table of content: DR. PRISCILLA ARLENE HOLLANDER PH.D, M.D. (NPI 1417988098)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619284601 NPI number — HEALTH MANAGEMENT RESOURCES, P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEALTH MANAGEMENT RESOURCES, P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619284601
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/12/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1822 S GLENBURNIE RD
Provider Second Line Business Mailing Address:
SUITE 6, #385
Provider Business Mailing Address City Name:
NEW BERN
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28562-5261
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
252-259-6467
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1822 S GLENBURNIE RD
Provider Second Line Business Practice Location Address:
SUITE 6, #385
Provider Business Practice Location Address City Name:
NEW BERN
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28562-5261
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-259-6467
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/12/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ROYALS
Authorized Official First Name:
HOOVER
Authorized Official Middle Name:
MCGY
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
252-259-6467

Provider Taxonomy Codes

  • Taxonomy code: 261QP2300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)