Organization
MT HOLLY FAMILY PRACTICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE CRAIG WILLIAMS (OFFICE MANAGER)
(704) 822-6200
Entity
Organization
Contact information
Practice address
305 W CATAWBA AVE, MOUNT HOLLY, NC 28120-1613
(704) 822-6200
(704) 822-1601
Mailing address
PO BOX 786, MOUNT HOLLY, NC 28120
(704) 822-6200
(704) 822-1601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5950360
—
NC
05
—
897813A
—
NC
Enumeration date
03/24/2006
Last updated
09/15/2010
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