Most Relevant Information
Provider Data
| NPI Number: | 1003637414 |
| Provider Name: | MARTHA ANN HOLT |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/18/2024 |
| Last Updated: | 10/18/2024 |
Provider Practice Location
168 GEORGIA AVE
MILTON
WV
255418008
Practice Location Phone/Fax
| Phone: | 3047331094 |
| Fax: |
Provider Mailing Location
168 GEORGIA AVE
MILTON
WV
255418008
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |