Organization
NORTHGATE FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL LEE HOLLAND MD (OWNER)
(704) 788-1134
Entity
Organization
Contact information
Practice address
1028 LEE ANN DR NE, SUITE 100, CONCORD, NC 28025-2911
(704) 788-1134
(704) 788-1186
Mailing address
1028 LEE ANN DR NE, SUITE 100, CONCORD, NC 28025-2911
(704) 788-1134
(704) 788-1186
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9701402
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891326J
—
NC
Enumeration date
06/09/2006
Last updated
08/22/2020
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