Individual
VICTORIA HAYNES HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5480 GOODMAN RD STE 1, OLIVE BRANCH, MS 38654-7902
(662) 874-6507
(662) 932-8197
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5678
TN
363A00000X
Physician Assistant
Primary
PA00746
MS
Other
Enumeration date
06/29/2022
Last updated
03/19/2024
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