Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 200300808 | NC |
NPI | 1083684385 |
---|---|
Provider Name | James Holt |
First Address | Charlotte, NC 28219-9305 |
Second Address | Concord, NC 28025-2406 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 05/01/2022 |