Individual
HOLLY JEAN TABOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2006 FAIRVIEW RD, RALEIGH, NC 27608-2316
(919) 322-5440
Mailing address
4420 POWELL GROVE CT, RALEIGH, NC 27606-6350
(919) 521-0566
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
5019504
NC
363LF0000X
Family Nurse Practitioner
Primary
5019504
NC
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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