| Dava Holifield, | |
| 
					1008 Azalea Dr, Waynesboro, MS 39367-2499  | |
| (601) 509-2584 | |
| Not Available | 
| Full Name | Dava Holifield | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1008 Azalea Dr, Waynesboro, Mississippi | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1144087743 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 906386 (Mississippi) | Primary | 
| Entity Name | Fast Pace Mississippi Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dava Holifield, Po Box 306415, Nashville, TN 37230-6415 Ph: () -  | Dava Holifield, 1008 Azalea Dr, Waynesboro, MS 39367-2499 Ph: (601) 509-2584  | 
Connor Elizabeth Johnson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 951 Matthew Dr, Waynesboro, MS 39367 Phone: 601-735-5151  | |
Bobby Harris,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1008 Azalea Dr, Waynesboro, MS 39367 Phone: 601-509-2584  | |
Whitney Hoskins, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 713 Lomax Ave, Waynesboro, MS 39367 Phone: 601-671-2400  | |
Mrs. Amanda L Freeman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 951 Matthew Drive, Suite# A, Waynesboro, MS 39367 Phone: 601-371-2742 Fax: 601-735-7266  | |
Ms. Angela B Boyd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Azalea Dr Ste F, Waynesboro, MS 39367 Phone: 601-735-3737  | |
Mandy Yvette Munn, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1008 Azalea Dr, Waynesboro, MS 39367 Phone: 601-509-2584  |