person
Mrs. Ivey Ellis Holt, PA
Surgical Physician Assistant in Columbus, Georgia
NPI 1831430032

Ivey Ellis Holt is a Surgical Physician Assistant based in Fortson, GA and is specialized in Surgical. Ivey Ellis Holt practices in Columbus, GA and has the professional credentials of PA. The NPI Number for Ivey Ellis Holt is 1831430032 and holds a License No. 006742 (Georgia).

The current practice location address for Ivey Ellis Holt is 6262 Veterans Pkwy, Columbus, GA and can be reached out via phone at 706-324-6661 and via fax at 706-494-3201.

Location: 6262 Veterans Pkwy, Columbus, GA, 31808-0370
person
Provider Profile Details
NPI Number
1831430032
Provider Name
Ivey Ellis Holt
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
6262 Veterans Pkwy, Columbus, GA, 31808-0370
Phone Number
706-324-6661
Fax Number
706-494-3201
Provider Enumeration Date
03/13/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
006742 01 GA STATE LICENSE
147458 05 AL
003132870 05 GA
institution
Provider Business Practice Location Address Details
Address
6262 Veterans Pkwy
City
State
Zip
31909-3540
Phone Number
706-324-6661
Fax Number
706-494-3201
person
Provider Business Mailing Address Details
Address
6262 Veterans Pkwy
City
State
Zip
31909-3540
Phone Number
706-324-6661
Fax Number
706-494-3201
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
006742 (Georgia)
Definition
Definition to come...
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