Organization
BRAD HOLIFIELD, D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD HOLIFIELD D.M.D. (DOCTOR / PRESIDENT)
(601) 577-2723
Entity
Organization
Contact information
Practice address
3221 AUDUBON DR, LAUREL, MS 39440-1422
(601) 649-3900
(601) 518-7860
Mailing address
3221 AUDUBON DR, LAUREL, MS 39440-1422
(601) 649-3900
(601) 518-7860
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
PER-201-87
MS
Other
Enumeration date
10/16/2006
Last updated
04/06/2016
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