Individual
DR. HOLLY LAIN HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1695 KERNERSVILLE MEDICAL PKWY, KERNERSVILLE, NC 27284-7159
(336) 515-5000
(336) 515-5310
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-6674
(336) 716-9188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2008-00471
NC
207RC0000X
Cardiovascular Disease Physician
Primary
2008-00471
NC
207RI0011X
Interventional Cardiology Physician
2008-00471
NC
Other
Enumeration date
04/16/2007
Last updated
09/12/2025
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