Individual
HOLLY LAUREN DEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
308 DOLPHIN DR, JACKSONVILLE, NC 28546-5266
(910) 346-2273
(910) 346-1907
Mailing address
410 TEMPO TRL, RICHLANDS, NC 28574-8481
(828) 400-5095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07065
NC
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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