Individual provider · Type 1 NPI

Jody Dale Holler, MD

Family Medicine Physician · Waxhaw, NC

NPI number 1114928611 Active

Practice location

2700 S Providence Rd, Ste 300
Waxhaw, NC 28173-6313

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X200200918 (NC)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1114928611

Jody Dale Holler, MD's National Provider Identifier is 1114928611, issued on Aug 9, 2005. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Waxhaw, NC. The record was last updated on Jul 15, 2024.