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NPI Code Detail

MEDICARE: JOSHUA M. HOLIFIELD D.O.

MEDICARE: JOSHUA M. HOLIFIELD D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianPG177501OR
2208600000XSurgery Physician28757MS

General Provider Information

NPI Number : 1194174755
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA M. HOLIFIELD D.O.
Provider Business Mailing Address
First Line : PO BOX 247
Second Line :
City : LAUREL
State : MS
Zip : 39441-0247
Country : US
Telephone Number : 601-399-6169
Fax Number : 601-399-6184
Provider Business Practice Location Address
First Line : 1002 JEFFERSON STREET
Second Line : 400
City : LAUREL
State : MS
Zip : 39440-4355
Country : US
Telephone Number : 601-649-7802
Fax Number : 601-399-6184
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2016
Last Update Date : 03/18/2026

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