Organization
HOLMES & GUY PODIATRISTS, P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDNA C HOLMES DPM (OWNER)
(703) 494-3070
Entity
Organization
Contact information
Practice address
1700 ROSEDALE CT, WOODBRIDGE, VA 22191-3016
(703) 494-3070
Mailing address
1700 ROSEDALE CT, WOODBRIDGE, VA 22191-3016
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026083
BLUE CROSS BLUE SHIELD
—
01
—
480000105
MEDICARE PTAN
—
01
—
5407
DC PROVIDER NUMBER
—
05
—
9302409
—
VA
01
—
C11074
PTAN
VA
Enumeration date
11/02/2009
Last updated
06/22/2010
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