Main Street Medical Clinic LLC
NPI #1649345125 in Benton, Illinois
Provider Information
- NPI Number
- 1649345125
- Entity Type
- Organization
- Organization Name
- Main Street Medical Clinic LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Nov 21, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MRS. DEBBIE LYNN HOLMAN, NP
- Title
- NP
- Phone
- (618) 435-4310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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