| Holifield Clinic Llc | |
|
1100 S Cedar Ave Demopolis AL 36732-3310 | |
| (334) 289-2190 | |
| (334) 289-2195 |
| Full Name | Holifield Clinic Llc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1100 S Cedar Ave, Demopolis, Alabama |
| Authorized Official Name and Position | Heather Patrick Campbell (OFFICE MANAGER) |
| Authorized Official Contact | 3342892190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holifield Clinic Llc 1100 S Cedar Ave Demopolis AL 36732-3310 Ph: (334) 289-2190 | Holifield Clinic Llc 1100 S Cedar Ave Demopolis AL 36732-3310 Ph: (334) 289-2190 |
| NPI Number | 1568525855 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568525855 | NPI | - | NPPES |
| 1436 | Other | AL | PRESCRIPTIVE# |
| 7780 | Other | AL | AL LICENSE# |
| 0308385 | Other | AL | ACOG# |
| 1-045972 | Other | AL | AL LICENSE# |
| 85905-COW | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (Alabama) | Primary |
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