Individual
HOLLY ANTONY BORDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2311 LEWISVILLE CLEMMONS RD FL 3, CLEMMONS, NC 27012-8905
(336) 713-8900
(336) 702-9286
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 713-0947
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2016-01383
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2013
Last updated
10/16/2023
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