Individual
DAVA HOLIFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1008 AZALEA DR, WAYNESBORO, MS 39367-2499
(601) 509-2584
Mailing address
PO BOX 306415, NASHVILLE, TN 37230-6415
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906386
MS
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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