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Individual
JAMES WHITEING HOLLEY, IV
Active
Individual
JAMES WHITEING HOLLEY, IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
007431
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054734
BLUE CROSS BLUE SHIELD
VA
05
—
106564
—
VA
01
—
118556
CIGNA
VA
01
—
145830
BC/BS FEDERAL
VA
01
—
7431
DELTA DENTAL
VA
01
—
901912
UNITED CONCORDIA
VA
Enumeration date
07/28/2006
Last updated
07/08/2007
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