Jody Dale Holler, MD

NPI #1114928611 in Waxhaw, North Carolina

Provider Information

NPI Number: 1114928611
Entity Type: Individual
Name: Jody Dale Holler, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Aug 9, 2005
Last Updated: Jul 15, 2024

Practice Location

Address: 2700 S PROVIDENCE RD
Address 2: STE 300
City: Waxhaw
State: North Carolina
ZIP Code: 28173-6313
Phone: (704) 243-2254

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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