DR. Holly C Provost, M.D.

NPI #1356349245 in Opelousas, Louisiana

Provider Information

NPI Number
1356349245
Entity Type
Individual
Name
DR. Holly C Provost, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Obstetrics & Gynecology
Credential
M.D.
Enumeration Date
Jul 13, 2005
Last Updated
Jul 9, 2007

Practice Location

Address
3975 I 49 S SERVICE RD
Address 2
SUITE 205A
ZIP Code
70570-0775
Phone
(337) 942-2323

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology

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