Individual
MRS. TAMMY HOLLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LAT, ATC
Contact information
Practice address
700 VANCE STREET NE, WILSON, NC 27893-7000
(252) 399-6373
Mailing address
PO BOX 5000, WILSON, NC 27893-7000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1772
NC
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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