Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 28650 | NC |
NPI | 1467599449 |
---|---|
Provider Name | Dr. Susan Holman |
First Address | Asheville, NC 28803-2353 |
Second Address | Asheville, NC 28803-7301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 24/07/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C45845 | (02) | NC |