Provider Demographics
NPI:1891155487
Name:HOLLINS, JOYCE S
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:S
Last Name:HOLLINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2660 MONTPELIER AVE
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31204-5226
Mailing Address - Country:US
Mailing Address - Phone:478-743-8316
Mailing Address - Fax:
Practice Address - Street 1:2660 MONTPELIER AVE
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31204-5226
Practice Address - Country:US
Practice Address - Phone:478-743-8316
Practice Address - Fax:478-743-1824
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-25
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN 179039363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner