Individual
HOLLY ALLISON PHIFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1000 STATE ST, CORINTH, MS 38834-9307
(662) 286-5469
(662) 286-6971
Mailing address
PO BOX 839, CORINTH, MS 38835-0839
(662) 286-9883
(662) 286-9836
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P317918
MS
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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