Individual
CYNTHIA J HOLIFIELD VI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 HWY 80 EAST, DEMOPOLIS, AL 36732
(334) 289-2242
(334) 289-2241
Mailing address
915 HWY 80 EAST, DEMOPOLIS, AL 36732
(334) 289-2242
(334) 289-2241
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
627
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-41261
BLUE CROSS BLUE SHIELD
AL
Enumeration date
09/05/2006
Last updated
11/15/2007
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