Individual
DR. HOLLACE MARIE DISSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 BLYTHE BLVD, MEB 3, CHARLOTTE, NC 28203-5812
(704) 355-3658
(704) 355-7047
Mailing address
1000 BLYTHE BLVD, MEB 3, CHARLOTTE, NC 28203-5812
(704) 355-3658
(704) 355-7047
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
148896
NC
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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