Individual
JAMES WILLIAM HOLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 HIGHWAY 61 N, VICKSBURG, MS 39183-8211
(601) 883-5000
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(601) 883-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13951
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120311
—
MS
Enumeration date
06/13/2006
Last updated
03/29/2011
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