Organization
RUBY'S BOYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIE J HOLLEY JR. (OWNER)
(980) 428-0808
Entity
Organization
Contact information
Practice address
4424 TANTILLA CIR, CHARLOTTE, NC 28215-4149
(704) 726-1776
Mailing address
4424 TANTILLA CIR, CHARLOTTE, NC 28215-4149
(704) 726-1776
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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