Individual
DR. JOHN CHADLEY HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
794 S MAIN ST STE B, KERNERSVILLE, NC 27284-4074
(336) 904-2317
(336) 443-6030
Mailing address
PO BOX 601843, CHARLOTTE, NC 28260-1843
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200401636
NC
207QA0505X
Adult Medicine Physician
200401636
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13836
BCBS
NC
05
—
5900296
—
NC
Enumeration date
08/25/2006
Last updated
05/02/2023
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