Individual
MRS. HOLLY C BANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
303 BENNER PIKE, STATE COLLEGE, PA 16801-7301
(814) 272-5660
Mailing address
904 CAMPBELL ST STE 206, WILLIAMSPORT, PA 17701-3154
(570) 322-1600
(570) 322-6160
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA051049
PA
Other
Enumeration date
12/29/2006
Last updated
12/08/2023
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