Provider Demographics
NPI:1730322157
Name:HOLT, SARAH COURTNEY (PA-C)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:COURTNEY
Last Name:HOLT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HOWE CREEK LANDING
Mailing Address - Street 2:710 MILITARY CUTOFF ROAD SUITE 200
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405
Mailing Address - Country:US
Mailing Address - Phone:919-971-8981
Mailing Address - Fax:
Practice Address - Street 1:HOWE CREEK LANDING
Practice Address - Street 2:710 MILITARY CUTOFF ROAD SUITE 200
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405
Practice Address - Country:US
Practice Address - Phone:919-971-8981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-15
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-01797363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant