Individual
DR. MARK EDWARD HOLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 ENTERPRISE PARKWAY, SUITE 200, HAMPTON, VA 23666-2499
(757) 826-5437
(757) 826-5794
Mailing address
901 ENTERPRISE PARKWAY, SUITE 200, HAMPTON, VA 23666-2499
(757) 826-5437
(757) 826-5794
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101045706
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006769357
—
VA
01
—
541663494
CHAMPUS
VA
Enumeration date
07/28/2005
Last updated
09/16/2015
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