# ANGELINA DAWN HOLT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1487921409
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 006317 | GA | — |
| 363A00000X | Physician Assistant | 0110005126 | VA | — |
| 363A00000X | Physician Assistant | 4254 | CT | — |
| 363A00000X | Physician Assistant | PA12050 | TX | — |
| 363A00000X | Physician Assistant | PA9116010 | FL | Yes |

## Other

- **Enumeration date:** 11/18/2011
- **Last updated:** 11/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003118596A | — | GA |
| 01 | — | 01477593 | AMERIGROUP | — |
| 05 | — | 1319PA | — | SC |
| 01 | — | 643345 | WELLCARE | GA |
| 01 | — | P00994128 | RAILROAD MEDICARE | GA |