Individual
VINCENT HOELLERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3034
Mailing address
PO BOX 18139, RALEIGH, NC 27619-8139
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
31996
NC
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
0101226687
VA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
31996
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050012527
RAILROAD-MEDICARE
NC
01
—
132ER
BCBS NC
NC
01
—
19854
PARTNERS
NC
01
—
57291
MEDCOST
NC
01
—
6734497
CIGNA
NC
05
—
89132ER
—
NC
Enumeration date
08/31/2006
Last updated
02/02/2022
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