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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JODY DALE HOLLER, MD

Active

JODY DALE HOLLER, MD is a Family Medicine healthcare provider located in WAXHAW, North Carolina. NPI 1114928611 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · WAXHAW, NC

Registration Details

NPI Number
1114928611
Provider Type
Individual
Gender
Male
NPI Issued
Aug 9, 2005 (21.009738400054 yrs)
Last Updated
Jul 15, 2024
License
200200918 (NC)

Practice Information

Address
2700 S PROVIDENCE RD
STE 300
WAXHAW, NC, 281736313
Browse NC providers · Browse ZIP 28173
Phone
7042432254
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in WAXHAW, NC

Name Credential NPI
HOWARD M GUTHMANN II M.D. 1134181118
DR. DAVID ALAN CROLAND D.O. 1053343038
PAIGE EMILY TOMCHO DO 1356360739
ANUPAMA SINGARAJU MD 1801913264
DR. ROBERT MALECKI M.D. 1497979611
MATTHEW MILLIKAN VERRILL MD 1326242611
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.