Individual
HOLLI TENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LE
Contact information
Practice address
100 PAVILION WAY STE E, SOUTHERN PINES, NC 28387-4560
(910) 315-0402
Mailing address
100 PAVILION WAY STE E, SOUTHERN PINES, NC 28387-4560
(910) 315-0402
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
23537
NC
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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