NPI 1083806327

Vance Holland, ATC

Practitioner Athletic Trainer Oxford, MS

Practice location

Address: 2205 Jefferson Davis Dr, Oxford, MS 38655-5221
Phone: (662) 238-2800
Fax: (662) 238-2808
Mailing address: PO Box 1016, Oxford, MS 38655-5221

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT0168 (MS)

Other Specialist/Technologist providers in Mississippi →

Registry record

NPI: 1083806327
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Aug 2007
Record last updated: 9 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.