| Doctor Name: | DR. EDNA C HOLMES |
| NPI Number: | 1003908898 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM |
| License Number: | 0103000695 |
| Business Practice Address: | 1700 Rosedale Ct Woodbridge, VA - 221913016 |
| Business Phone Number: | 7034943070 |
| Business Fax Number: | 7034919501 |
| Mailing Address: | 1700 Rosedale Ct, WOODBRIDGE |
| State: | VA |
| Postal Code: | 221913016 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/29/2006 |
| NPI Last Update Date: | 11/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0000X |
| License Number: | 0103000695 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Sports Medicine |
| Taxonomy Definition: | |