Individual
BETH L. HOLTHUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
201 EXECUTIVE PARK BLVD, WINSTON SALEM, NC 27103-1503
(336) 774-9000
(336) 774-9012
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 774-9000
(336) 774-9012
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
100852
NC
Other
Enumeration date
02/03/2006
Last updated
10/29/2020
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