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NPI Code Detail

MEDICARE: SAMANTHA CHRISTINE HOLLEY PA-C

MEDICARE: SAMANTHA CHRISTINE HOLLEY PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1740131564
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA CHRISTINE HOLLEY PA-C
Provider Business Mailing Address
First Line : 9466 GEORGIA AVE # 1010
Second Line :
City : SILVER SPRING
State : MD
Zip : 20910-1456
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 20 UNIVERSITY BLVD E
Second Line :
City : SILVER SPRING
State : MD
Zip : 20901-2436
Country : US
Telephone Number : 855-910-3278
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2026
Last Update Date : 02/11/2026

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Directions to “ SAMANTHA CHRISTINE HOLLEY PA-C” Practice Location

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