| Organization Name: | HOLIFIELD CLINIC LLC |
| NPI Number: | 1568525855 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HEATHER PATRICK CAMPBELL (OFFICE MANAGER) |
| Mailing Address: | 1100 S Cedar Ave Demopolis |
| State: | AL US |
| Postal Code: | 367323310 |
| Phone Number: | 3342892190 |
| Fax Number: | 3342892195 |
| NPI Enumeration Date: | 12/18/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |