Individual
TERESA A. HOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
4000 SHIPYARD BLVD STE 120, WILMINGTON, NC 28403-6194
(910) 473-3222
(910) 769-0063
Mailing address
4000 SHIPYARD BLVD STE 120, WILMINGTON, NC 28403-6194
(910) 473-3222
(910) 769-0063
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110002271
VA
Other
Enumeration date
10/30/2007
Last updated
06/04/2018
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