person
Elizabeth Koontz Holland, PAC
Medical Physician Assistant in Winston Salem, North Carolina
NPI 1750366886

Elizabeth Koontz Holland is a Medical Physician Assistant based in Charlotte, NC and is specialized in Medical. Elizabeth Koontz Holland practices in Winston Salem, NC and has the professional credentials of PAC. The NPI Number for Elizabeth Koontz Holland is 1750366886 and holds a License No. 000101509 (North Carolina).

The current practice location address for Elizabeth Koontz Holland is Medical Center Blvd, Winston Salem, NC and can be reached out via phone at 336-716-2255 and via fax at 336-713-5424.

Location: Medical Center Blvd, Winston Salem, NC, 28260-2658
person
Provider Profile Details
NPI Number
1750366886
Provider Name
Elizabeth Koontz Holland
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
Medical Center Blvd, Winston Salem, NC, 28260-2658
Phone Number
336-716-2255
Fax Number
336-713-5424
Provider Enumeration Date
12/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7338641 01 AETNA
94676 01 NC MEDCOST
institution
Provider Business Practice Location Address Details
Address
Medical Center Blvd
City
State
Zip
27157-0001
Phone Number
336-716-2255
Fax Number
336-713-5424
person
Provider Business Mailing Address Details
Address
Medical Center Blvd
City
State
Zip
27157-0001
Phone Number
336-716-2255
Fax Number
336-713-5424
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
000101509 (North Carolina)
Definition
Definition to come...
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