Individual
HOLLINS PEEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 974-1000
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
200000751
NC
2085R0202X
Diagnostic Radiology Physician
Primary
200000751
NC
2085R0204X
Vascular & Interventional Radiology Physician
200000751
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127R2
BCBS
NC
05
—
2002481000
—
WV
01
—
70404
PARTNERS
NC
05
—
7214821
—
VA
01
—
7557322
AETNA
NC
05
—
89127R2
—
NC
01
—
A2500
MEDCOST
NC
05
—
Q00754
—
SC
Enumeration date
12/13/2005
Last updated
02/03/2022
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