Holistic, INC

NPI #1811405616 in Charleston, West Virginia

Provider Information

NPI Number: 1811405616
Entity Type: Organization
Organization Name: Holistic, INC
Primary Specialty: Family Medicine
Enumeration Date: Jan 15, 2018
Last Updated: Aug 22, 2023

Practice Location

Address: 4815 MACCORKLE AVE SE
City: Charleston
State: West Virginia
ZIP Code: 25304-1948
Phone: (681) 265-1693

Authorized Official

Name: MR. SHAWN ROBERT BLANKENSHIP, NURSE PRACTITIONER
Title: OWNER
Phone: (304) 553-1576

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Medical Specialty — Medical Specialty	261QM2500X
Family Medicine	207Q00000X	Primary

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