Doctor Name: | MRS. CINDY OLIVER HOLCOMB |
NPI Number: | 1942276845 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CFNP |
License Number: | R850782 |
Business Practice Address: | 2686 Highway 145 Saltillo, MS - 388666941 |
Business Phone Number: | 6628698693 |
Business Fax Number: | 6628690110 |
Mailing Address: | Po Box 448, 2686 Hwy 145 South Ste B SALTILLO |
State: | MS |
Postal Code: | 388660448 |
Phone Number: | 6628698693 |
Fax Number: | 6628690110 |
NPI Enumeration Date: | 02/28/2006 |
NPI Last Update Date: | 09/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R850782 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |