MS. Holly Gwen Thompson, PAC

NPI #1023191574 in Winfield, West Virginia

Provider Information

NPI Number: 1023191574
Entity Type: Individual
Name: MS. Holly Gwen Thompson, PAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Oct 20, 2006
Last Updated: Nov 13, 2008

Practice Location

Address: 26 ELM STREET
City: Winfield
State: West Virginia
ZIP Code: 25213
Phone: (304) 586-6362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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