Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RR0500X | Rheumatology | 057820 | GA |
Y | 207RR0500X | Rheumatology | 2008-01427 | NC |
NPI | 1023296670 |
---|---|
Provider Name | Heather E Holden |
First Address | Charlotte, NC 28207-1198 |
Second Address | Charlotte, NC 28207-1198 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2008 |
Last Update Date | 05/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5910502 | (05) | NC |