Individual
MR. THOMAS WILLIAM HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
MEDICAL DEPARTMENT, 2000 JERRY ST PE HWY, PASCAGOULA, MS 39568-7003
(228) 935-2388
Mailing address
2147 FEATHERWOOD DR W, ATLANTIC BEACH, FL 32233-6922
(904) 270-7968
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/07/2006
Last updated
01/07/2013
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