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NPI Code Detail

MEDICARE: DAVID ROBB HOLTON FNP

MEDICARE: DAVID ROBB HOLTON FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner5005684NC
2363L00000XNurse Practitioner5005684NC

General Provider Information

NPI Number : 1215291265
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID ROBB HOLTON FNP
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1225 LEWISVILLE CLEMMONS RD
Second Line :
City : LEWISVILLE
State : NC
Zip : 27023-8251
Country : US
Telephone Number : 336-712-0700
Fax Number : 336-712-0876
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2012
Last Update Date : 08/17/2023

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