Individual
HOLLY ELIZABETH VICARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
58 CARROLL STREET, RM 2037, LEBANON, VA 24266
(276) 883-8000
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102208530
VA
207R00000X
Internal Medicine Physician
010704
AZ
207R00000X
Internal Medicine Physician
DR.0067562
CO
207R00000X
Internal Medicine Physician
OP61227067
WA
207R00000X
Internal Medicine Physician
Primary
OS12021
FL
208M00000X
Hospitalist Physician
0102208530
VA
208M00000X
Hospitalist Physician
DR.0067562
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14RT0
FLORIDA BLUE
FL
Enumeration date
06/28/2010
Last updated
06/24/2024
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