Individual
JEREMIAH HENRY HOLLEMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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