Individual
HOLLAND SPORT POUNCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1704 S FOREST AVE, LUVERNE, AL 36049-7306
(334) 335-3383
(334) 335-3078
Mailing address
1704 S FOREST AVE, LUVERNE, AL 36049-7306
(334) 335-3383
(334) 335-3078
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1115
AL
Other
Enumeration date
01/26/2016
Last updated
10/10/2016
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