Holly, Sandra Faye
Holly, Sandra Faye is an individual health care provider with primary practice located at 3550 Highway 468 W , Whitfield MS 39193-5529. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Holly, Sandra Faye can be contacted via phone (601) 351-8000.Contact Information
Primary practice address
3550 Highway 468 W
Whitfield MS 39193-5529
Phone: (601) 351-8000
Fax: (601) 351-8586
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 07747 | Mississippi |
Profile Details
| NPI number | 1386835353 |
|---|---|
| LBN Legal business name | Holly, Sandra Faye |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 6th, 2007 |
| Last updated | Aug 6th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386835353 | NPPES |
| Mississippi | MEDICAID | 01820022 |
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