Individual
MR. MATT P HOLLIFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
202 MCALISTER EXT, NEW ORLEANS, LA 70118-5671
(504) 864-2105
(504) 864-2130
Mailing address
202 MCALISTER EXT, NEW ORLEANS, LA 70118-5671
(504) 864-2105
(504) 864-2130
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.J00324
LA
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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