Individual
ALISON L HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
27 S SIXTH ST, BAY SPRINGS, MS 39422-9052
(601) 764-2155
(601) 764-2150
Mailing address
PO BOX 549, BAY SPRINGS, MS 39422-0549
(601) 764-2143
(601) 764-4890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R654426
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114684
—
MS
Enumeration date
09/27/2006
Last updated
10/11/2018
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