Healthcare Provider Details

I. General information

NPI: 1629096615
Provider Name (Legal Business Name): DAVIS WILLIAM TROY HOLT DC, MSN, FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1209 E ASH ST
GOLDSBORO NC
27530-5103
US

IV. Provider business mailing address

1209 E ASH ST
GOLDSBORO NC
27530-5103
US

V. Phone/Fax

Practice location:
  • Phone: 919-734-9455
  • Fax: 919-734-4769
Mailing address:
  • Phone: 919-734-9455
  • Fax: 919-734-4769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5018535
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: