Individual
JOHNATHAN MARTIN HOLLYFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
343 ELM ST STE 206, RENO, NV 89503
(775) 746-3400
(775) 746-3411
Mailing address
11025 RCA CENTER DR STE 300, PALM BEACH GARDENS, FL 33410-4269
(561) 383-3820
(855) 369-2450
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
17859
NV
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
192214
NC
Other
Enumeration date
05/31/2013
Last updated
06/22/2018
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