Individual
DR. HOLLY LYN STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7001 FOREST AVE, SUITE 100, RICHMOND, VA 23230-1726
(804) 893-8627
(804) 673-5497
Mailing address
7001 FOREST AVE, SUITE 100, RICHMOND, VA 23230-1726
(804) 893-8627
(804) 673-5497
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0101-034744
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06778
GROUP PTAN
VA
Enumeration date
08/11/2005
Last updated
07/30/2013
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