Ja NA Monique Holyfield, PA

NPI #1356300651 in Ellenwood, Georgia

Provider Information

NPI Number: 1356300651
Entity Type: Individual
Name: Ja NA Monique Holyfield, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Mar 23, 2006
Last Updated: Mar 17, 2018

Practice Location

Address: 211 FAIRVIEW RD
City: Ellenwood
State: Georgia
ZIP Code: 30294-2721
Phone: (678) 289-6747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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