Individual
BAILEY HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
3278 MITCHELL BLVD, MOODY AFB, GA 31699-1500
(609) 832-9740
Mailing address
3278 MITCHELL BLVD, MOODY AFB, GA 31699-1500
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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