Provider Demographics
NPI:1043717820
Name:HOLMES, VIOLA FIELDS (MS, RD, CDE)
Entity type:Individual
Prefix:
First Name:VIOLA
Middle Name:FIELDS
Last Name:HOLMES
Suffix:
Gender:F
Credentials:MS, RD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4464 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-2402
Mailing Address - Country:US
Mailing Address - Phone:434-825-3590
Mailing Address - Fax:
Practice Address - Street 1:4464 SUNSET DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-2402
Practice Address - Country:US
Practice Address - Phone:434-825-3590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-09
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered