Individual
DR. HOLLY VIRGINIA MACKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2066 NC HIGHWAY 125, ROANOKE RAPIDS, NC 27870-9436
(252) 536-5000
(252) 536-2258
Mailing address
PO BOX 640, ROANOKE RAPIDS, NC 27870-0640
(252) 536-5844
(252) 519-0154
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
025358
LA
2084P0800X
Psychiatry Physician
19239
MS
2084P0800X
Psychiatry Physician
2025-02667
NC
Other
Enumeration date
07/28/2006
Last updated
09/16/2025
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