| Doctor Name: | JOHN R HOLANCIN |
| NPI Number: | 1528035797 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD11195 |
| Business Practice Address: | 132 Hospital Dr Mc Kenzie, TN - 382011637 |
| Business Phone Number: | 7313527435 |
| Business Fax Number: | 7313520573 |
| Mailing Address: | Po Box 400, JACKSON |
| State: | TN |
| Postal Code: | 383020400 |
| Phone Number: | 7314238697 |
| Fax Number: | 7314225743 |
| NPI Enumeration Date: | 03/07/2006 |
| NPI Last Update Date: | 11/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD11195 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |