Provider Demographics
NPI:1831296359
Name:HOLLINS, BILL B (DO)
Entity Type:Individual
Prefix:
First Name:BILL
Middle Name:B
Last Name:HOLLINS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:BILL
Other - Middle Name:B
Other - Last Name:HOLLINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DOPC
Mailing Address - Street 1:4450 NEW MANCHESTER HWY
Mailing Address - Street 2:
Mailing Address - City:TULLAHOMA
Mailing Address - State:TN
Mailing Address - Zip Code:37388-6756
Mailing Address - Country:US
Mailing Address - Phone:931-455-7590
Mailing Address - Fax:
Practice Address - Street 1:4450 NEW MANCHESTER HWY
Practice Address - Street 2:
Practice Address - City:TULLAHOMA
Practice Address - State:TN
Practice Address - Zip Code:37388-6756
Practice Address - Country:US
Practice Address - Phone:931-455-7590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-19
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TND0272207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN2605225OtherCIGNA
TN3300985Medicaid
9814OtherBLUE CROSS
TN3300985Medicaid
9814OtherBLUE CROSS