Individual
RASHAD PATRON HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
628 E 12TH ST, WASHINGTON, NC 27889-3409
(252) 975-4319
(252) 948-4826
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2018-00198
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598185589
—
NC
01
—
19UZQ
BCBS OF NC
NC
01
—
NN1479A
MEDICARE
NC
Enumeration date
04/17/2014
Last updated
10/25/2018
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