Individual
SALLY ROBYN HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
710 CENTER ST, EMERGENCY DEPARTMENT, COLUMBUS, GA 31901-1527
(706) 571-1088
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(954) 377-3062
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003490
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
472678928A
—
GA
05
—
472678928D
—
GA
05
—
472678928E
—
GA
05
—
472678928F
—
GA
05
—
472678928G
—
GA
Enumeration date
09/22/2006
Last updated
07/29/2013
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