Individual
DR. WALTER CLYDE HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1240 SCHOOL STREET, WILKESBORO, NC 28697
(336) 667-3323
(336) 667-8718
Mailing address
PO BOX 380, 1240 SCHOOL STREET, WILKESBORO, NC 28697
(336) 667-3323
(336) 667-8718
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
H736
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04897
BCBS
—
Enumeration date
11/06/2006
Last updated
02/20/2012
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