Mickel A Holman, PA

NPI #1508932450 in Mer Rouge, Louisiana

Provider Information

NPI Number: 1508932450
Entity Type: Individual
Name: Mickel A Holman, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Nov 24, 2006
Last Updated: Feb 29, 2012

Practice Location

Address: 207 DAVENPORT
City: Mer Rouge
State: Louisiana
ZIP Code: 71261
Phone: (318) 647-3412

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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