Organization
RURAL HALL FAMILY PRACTICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HOLLAND MD (OWNER)
(336) 659-9440
Entity
Organization
Contact information
Practice address
100 E WALL ST, RURAL HALL, NC 27045-9312
(336) 659-9440
(336) 659-9845
Mailing address
100 EAST WALL STREET, RURAL HALL, NC 27045
(336) 659-9440
(336) 659-9845
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02740
BCBS
NC
05
—
8902740
—
NC
Enumeration date
01/19/2007
Last updated
02/21/2012
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