Individual
J. DAVID DEHOLL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1216 6TH AVE W, HENDERSONVILLE, NC 28739-3301
(828) 692-6262
(828) 692-5858
Mailing address
PO BOX 63314, CHARLOTTE, NC 28263-3314
(828) 696-1312
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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