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Contact Information

IVEY E HOLT, PA
6262 VETERANS PKWY
COLUMBUS, GA31909-3540
 Phone: 706-324-6661
 Fax: 706-494-3201
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for IVEY E HOLT · (Female)

NPI # 1831430032
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 03/13/2013
Last updated 11/19/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 006742
  • AL Medicaid 147458
  • GA Medicaid 003132870
  • GA Other 006742 STATE LICENSE
Hospital affiliation(s)
  • EAST ALABAMA MEDICAL CENTER AND SNF - (Acute Care)
    2000 PEPPERELL PARKWAY
    OPELIKA, AL 36801
  • JACK HUGHSTON MEMORIAL HOSPITAL - (Acute Care)
    4401 RIVER CHASE DRIVE
    PHENIX CITY, AL 36867
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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