| Holton Medical Llc | |
|
1309 Coffeen Ave Ste 1200 Sheridan WY 82801-5777 | |
| (307) 683-0983 | |
| Not Available |
| Full Name | Holton Medical Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1309 Coffeen Ave Ste 1200, Sheridan, Wyoming |
| Authorized Official Name and Position | Cynthia Kaye Holton (CEO) |
| Authorized Official Contact | 9122946712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holton Medical Llc 291 Wiggins Rd Lyons GA 30436-3434 Ph: (912) 294-6712 | Holton Medical Llc 1309 Coffeen Ave Ste 1200 Sheridan WY 82801-5777 Ph: (307) 683-0983 |
| NPI Number | 1578233524 |
|---|---|
| Provider Enumeration Date | 09/20/2021 |
| Last Update Date | 09/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578233524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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