Individual
AGNES E HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10215 FERNWOOD RD, STE 50, BETHESDA, MD 20817
(301) 564-1053
(703) 280-5098
Mailing address
3015 WILLIAMS DRIVE, STE 200, FAIRFAX, VA 22031
(703) 641-9133
(703) 280-5098
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101240501
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10011034
SENTARA
VA
01
—
139178
BCBS
VA
05
—
1760572457
—
VA
05
—
5905226
—
NC
01
—
P00376889
RR MEDICARE
VA
Enumeration date
10/13/2006
Last updated
08/12/2008
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