Individual
DR. HOLLY CRAIN HANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 WESTGATE CENTER DR STE 206, WINSTON SALEM, NC 27103-3104
(336) 815-4890
Mailing address
1400 WESTGATE CENTER DR STE 206, WINSTON SALEM, NC 27103-3104
(336) 815-4890
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2009-00822
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5912127
—
NC
Enumeration date
12/05/2007
Last updated
01/09/2026
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