Geoffrey Devries Holland, P.A.
Physician Assistant in Wilmington, NC. Individual provider (NPI-1).
NPI number1528126166
StatusActive
Last updated in NPPESJan 23, 2017
Details
- NPI
- 1528126166
- Entity type
- Individual (NPI-1)
- Name
- Mr. Geoffrey Devries Holland
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2006
- Last updated
- Jan 23, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 101529 | NC | Yes |
Practice location
3208 Oleander DrWilmington, NC 28403-0800
Phone 910-794-3929
Mailing address
Po Box 15511Wilmington, NC 28408-5511
Phone 336-508-7099
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