Individual
HOLLY TADLOCK RABON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
125 QUEENS RD STE 200, CHARLOTTE, NC 28204-3215
(704) 343-9800
(704) 347-2011
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 343-9800
(704) 347-2011
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5015201
NC
Other
Enumeration date
10/11/2021
Last updated
07/21/2023
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