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NPI Code Detail

MEDICARE: MR. MARK W. HOLLO P.A.

MEDICARE: MR. MARK W. HOLLO P.A.
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
1363A00000XPhysician Assistant101273NC

General Provider Information

NPI Number : 1770514291
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MARK W. HOLLO P.A.
Provider Business Mailing Address
First Line : PO BOX 829
Second Line :
City : HILDEBRAN
State : NC
Zip : 28637-0829
Country : US
Telephone Number : 828-397-3522
Fax Number : 828-397-5271
Provider Business Practice Location Address
First Line : 107 S CENTER ST
Second Line :
City : HILDEBRAN
State : NC
Zip : 28637-8304
Country : US
Telephone Number : 828-397-3522
Fax Number : 828-397-5271
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 09/21/2015

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Directions to “ MR. MARK W. HOLLO P.A.” Practice Location

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