Healthcare Provider Details

I. General information

NPI: 1023928728
Provider Name (Legal Business Name): SOPHIE HOLSING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7801 ALEXANDER PROMENADE PL
RALEIGH NC
27617-7351
US

IV. Provider business mailing address

1900 CAPITAL CREEK DR APT 3412
WAKE FOREST NC
27587-4056
US

V. Phone/Fax

Practice location:
  • Phone: 919-885-1546
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberPL010007
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: