Individual
MELISSA W HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
421 S 28TH AVE, HATTIESBURG, MS 39401-7236
(601) 268-5640
(601) 261-3507
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5640
(601) 261-3507
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
18530
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07402758
—
MS
05
—
1758175
—
LA
01
—
640507572ZT
AMERICAN ADMIN GROUP
MS
01
—
P00272262
RAILROAD MEDICARE
—
Enumeration date
08/17/2006
Last updated
03/26/2009
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