Individual
HOLLY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 FAIRFAX AVE, SUITE 572, NORFOLK, VA 23507-1914
(757) 446-8999
Mailing address
PO BOX 936, EVMS MEDICAL GROUP, NORFOLK, VA 23501-0936
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
110005213
VA
Other
Enumeration date
02/10/2016
Last updated
06/15/2021
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