Provider Demographics
NPI:1053335372
Name:HOLLIDAY, HARRY R (MD)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:R
Last Name:HOLLIDAY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:350 N HUMPHREYS BLVD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-2177
Mailing Address - Country:US
Mailing Address - Phone:901-226-4003
Mailing Address - Fax:901-227-8591
Practice Address - Street 1:107 BRANDON RD
Practice Address - Street 2:
Practice Address - City:STARKVILLE
Practice Address - State:MS
Practice Address - Zip Code:39759-2521
Practice Address - Country:US
Practice Address - Phone:662-615-3771
Practice Address - Fax:662-615-3775
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2025-09-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MS17672207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00200336Medicaid
MSI65030Medicare UPIN
MS00200336Medicaid