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1831430032
IVEY ELLIS HOLT
COLUMBUS, GA
NPI
1831430032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: GA 006742)
Enumeration Date
2013-03-13
Last Update Date
2020-11-19
Business Address
Mrs. IVEY ELLIS HOLT PA
6262 VETERANS PKWY
COLUMBUS, GA 31909-3540
Phone number: 706-324-6661
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Mailing Address
Mrs. IVEY ELLIS HOLT PA
PO BOX 370
FORTSON, GA 31808-0370
Phone number:
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