Organization
MID- ATLANTIC MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT P HOLMAN MD (MEDICAL DIRECTOR)
(703) 901-6299
Entity
Organization
Contact information
Practice address
3301 WILSON BLVD, ARLINGTON, VA 22201-2228
(703) 276-7798
(703) 243-7503
Mailing address
3301 WILSON BLVD, ARLINGTON, VA 22201-2228
(703) 276-7798
(703) 243-7503
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101038151
VA
Other
Enumeration date
07/05/2011
Last updated
01/11/2012
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