Healthcare Provider Details

I. General information

NPI: 1134277304
Provider Name (Legal Business Name): HOLLY ROSE ROBERTS BIOLA MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. HOLLY BIOLA GRAMBOW

II. Dates (important events)

Enumeration Date: 01/06/2007
Last Update Date: 05/30/2023
Certification Date: 05/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 FAYETTEVILLE ST
DURHAM NC
27707-2325
US

IV. Provider business mailing address

PO BOX 52119
DURHAM NC
27717-2119
US

V. Phone/Fax

Practice location:
  • Phone: 919-956-4000
  • Fax: 919-956-4535
Mailing address:
  • Phone: 919-956-4000
  • Fax: 919-956-4535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number200300935
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2003-00935
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: