Holler, Jody Dale
Holler, Jody Dale is an individual health care provider with primary practice located at 2700 S Providence Rd Ste 300, Waxhaw NC 28173-6313. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Holler, Jody Dale can be contacted via phone (704) 243-2254.Contact Information
Primary practice address
2700 S Providence Rd Ste 300
Waxhaw NC 28173-6313
Phone: (704) 243-2254
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 200200918 | North Carolina |
Profile Details
| NPI number | 1114928611 |
|---|---|
| LBN Legal business name | Holler, Jody Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Jul 15th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Nguyen, Thao Phuong
3614 S Providence Rd Ste 200 , Waxhaw NC 28173-6310 -
Verrill, Matthew Millikan
2700 S Providence Rd Ste 300, Waxhaw NC 28173-6313 -
Malecki, Robert
3614 Providence Rd S Suite 200, Waxhaw NC 28173-6309 -
Miranda, Roberto
1508 Dessau Ridge Ln Apt 602 Ste B, Austin TX 78754-2121 -
Singaraju, Anupama
2700 S Providence Rd Ste 300, Waxhaw NC 28173-6313 -
Tomcho, Paige Emily
2700 S Providence Rd Ste 300, Waxhaw NC 28173-6313 -
Bailey, Anietra Deneen Lashawn
3614 Providence Rd S Ste 200 , Waxhaw NC 28173-6310 -
Shanker-Patel, Kavita
3614 Providence Rd S Ste 200 , Waxhaw NC 28173-6310