Individual
DR. MICHAEL HOLLIFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
563 MOUNTAIN CITY RD, CLAYTON, GA 30525-3072
(706) 960-9533
(706) 782-0465
Mailing address
PO BOX 2442, COLUMBUS, GA 31902-2442
(706) 960-9533
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
032206
GA
207R00000X
Internal Medicine Physician
Primary
032206
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000642023D
—
GA
05
—
000642023F
—
GA
01
—
000642023J
MEDICAID URGENT CARE FRIENDSHIP
GA
01
—
11SCGZT
MEDICARE PIN URGENT CARE FRIENDSHIP
GA
Enumeration date
02/13/2006
Last updated
03/05/2022
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