Individual
MICHAEL HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
603 NEW BERN AVE, RALEIGH, NC 27601-1513
(919) 828-9085
Mailing address
603 NEW BERN AVE, RALEIGH, NC 27601-1513
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1365
NC
Other
Enumeration date
08/18/2006
Last updated
11/26/2007
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