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Individual

J. DAVID DEHOLL JR.

Active
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Individual

J. DAVID DEHOLL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
0101049235
VA
208800000X
Urology Physician
Primary
9700526
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2238261C
MEDICARE PTAN
NC
05
891049J
NC
Enumeration date
10/03/2006
Last updated
10/21/2025
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