Individual
DR. BRENT PATRICK HOLWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Mailing address
6135 PARK SOUTH DR STE 510, CHARLOTTE, NC 28210-0100
(704) 749-3116
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
61310
SC
207L00000X
Anesthesiology Physician
Primary
9401414
NC
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
94-01414
NC
207LP3000X
Pediatric Anesthesiology Physician
61310
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8943147
—
NC
05
—
N01414
—
SC
Enumeration date
10/10/2005
Last updated
09/19/2024
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