Doctor Name: | PAMELA HOLMES |
NPI Number: | 1184031312 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | H4526768831 |
Business Practice Address: | 812 Main Street Chipley, FL - 32528 |
Business Phone Number: | 8503265351 |
Business Fax Number: | |
Mailing Address: | 812 Main Street, CHIPLEY |
State: | FL |
Postal Code: | 32528 |
Phone Number: | 8503265351 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2014 |
NPI Last Update Date: | 07/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171WV0202X |
License Number: | H4526768831 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | Vehicle Modifications |
Taxonomy Definition: | A contractor who makes modifications to private vehicles to accommodate a health condition. |