| NPI | 1255886990 |
|---|---|
| Doing Business As | HOLLADAYMD |
| Entity Type | Organization |
| Authorized Contact | NATHAN BRENT HOLLADAY Member 385-251-6028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-11-09 |