Holyfield, William Gaston

Holyfield, William Gaston is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Holyfield, William Gaston can be contacted via phone (601) 984-2001.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-2001
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 902064 Mississippi

Profile Details

NPI number 1093245755
LBN Legal business name Holyfield, William Gaston
Credentials CPNP-AC/PC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2017
Last updated Jun 15th, 2017 - about 8 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.

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