Provider Demographics
NPI:1386858074
Name:HOLMES, WOODROW C L (DC)
Entity Type:Individual
Prefix:DR
First Name:WOODROW
Middle Name:C L
Last Name:HOLMES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 W GOVERNOR DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602-7443
Mailing Address - Country:US
Mailing Address - Phone:404-840-7112
Mailing Address - Fax:
Practice Address - Street 1:741 THIMBLE SHOALS BLVD
Practice Address - Street 2:SUITE 308
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-3560
Practice Address - Country:US
Practice Address - Phone:757-873-1701
Practice Address - Fax:757-873-3870
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008117111N00000X
VA0104556499111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor