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Individual

DR. HOLLY ANNE APPANAITIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD LP

Contact information

Practice address
241 GRANT STREET, WEST END, NC 27376
(910) 673-3535
(910) 673-6565
Mailing address
1062 RED HILL RD, CAMERON, NC 28326
(910) 245-3490

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3090
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
046U7
BCBS
NC
01
185342
MED COST
NC
05
6000706
NC
01
FH5000330
FIRST CAROLINA CARE
NC
Enumeration date
03/09/2007
Last updated
07/08/2007
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