Organization
BUFFALO LAKE MEDICAL, PLLC
Active
Organization
BUFFALO LAKE MEDICAL, PLLC
Active
Other names
Holden Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RONNITA HOLDEN PA-C (OWNER OF GROUP)
(919) 842-5566
Entity
Organization
Contact information
Practice address
181 MITTIE HADDOCK DR., CAMERON, NC 28326
(919) 842-5566
(919) 375-2048
Mailing address
181 MITTIE HADDOCK DR., CAMERON, NC 28326
(919) 842-5566
(919) 375-2048
Taxonomy
Speciality
Code
Description
License number
State
261QR1100X
Research Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
197607
NC
Other
Enumeration date
10/01/2014
Last updated
12/13/2023
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