Individual
HOLLY MAHALITC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1257 HIGHWAY 61 S, HOLLANDALE, MS 38748-3864
(662) 827-2214
Mailing address
1257 HIGHWAY 61 S, HOLLANDALE, MS 38748-3864
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R881658
MS
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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