Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 200300935 | NC |
NPI | 1134277304 |
---|---|
Provider Name | Dr. Holly Biola |
First Address | Durham, NC 27717-2119 |
Second Address | Durham, NC 27707-2325 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2007 |
Last Update Date | 23/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
45677U | (02) | |
891347A | (05) | NC |