Individual
TRAVIS D. HOLIFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
693 EATONVILLE RD, HATTIESBURG, MS 39401-9708
(601) 545-9304
Mailing address
693 EATONVILLE RD, HATTIESBURG, MS 39401-9708
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0112
MS
Other
Enumeration date
06/07/2017
Last updated
06/07/2017
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