Individual
TAYLOR D HOLLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16431 WISE ST., SAINT PAUL, VA 24283
(276) 762-2300
(276) 762-0612
Mailing address
16431 WISE ST., SAINT PAUL, VA 24283
(276) 762-2300
(276) 762-0612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101039694
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477571743
—
VA
Enumeration date
07/17/2006
Last updated
03/04/2010
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