# MT HOLLY FAMILY PRACTICE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740240522
- **Authorized official:** DENISE CRAIG WILLIAMS (OFFICE MANAGER)
- **Authorized official phone:** (704) 822-6200

## Contact information

- **Practice address:** 305 W CATAWBA AVE, MOUNT HOLLY, NC 28120-1613
- **Practice address phone:** (704) 822-6200
- **Practice address fax:** (704) 822-1601
- **Mailing address:** PO BOX 786, MOUNT HOLLY, NC 28120
- **Mailing address phone:** (704) 822-6200
- **Mailing address fax:** (704) 822-1601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/24/2006
- **Last updated:** 09/15/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5950360 | — | NC |
| 05 | — | 897813A | — | NC |