Individual
MRS. KIERSTON DOROTHY HOLIFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
4150 WASHINGTON RD STE 6, EVANS, GA 30809-4722
(706) 814-6104
Mailing address
1044 EMERALD PL, EVANS, GA 30809-5143
(706) 627-5904
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5358
GA
Other
Enumeration date
10/01/2008
Last updated
04/29/2024
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