Individual
JEREMIAH HENRY HOLLEMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 BLYTHE BLVD, 4TH FLOOR, CHARLOTTE, NC 28203-5812
(704) 355-8188
(704) 355-8192
Mailing address
PO BOX 601067, CHARLOTTE, NC 28260-1067
(704) 355-8188
(704) 355-8192
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
28044
NC
2086S0129X
Vascular Surgery Physician
Primary
28044
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891707675
—
NC
01
—
43110
BCBS
NC
05
—
7943110
—
NC
05
—
N28044
—
SC
01
—
P00245246
RAILROAD MEDICARE
—
Enumeration date
08/12/2006
Last updated
04/28/2014
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