Individual
HOLLY W PEGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 E WENDOVER AVE, GREENSBORO, NC 27405-6713
(336) 641-6554
Mailing address
1116 MANORWOOD DR, KERNERSVILLE, NC 27284-2266
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
324603
NC
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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