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Individual
VIRGINIA C HOLMES
Active
Individual
VIRGINIA C HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
004523
GA
363A00000X
Physician Assistant
Primary
PA05492
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326751001
—
TX
Enumeration date
07/21/2006
Last updated
11/11/2016
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