Individual provider · Type 1 NPI
Bennett Roy Hollenberg, MD
Diagnostic Radiology Physician · Charlotte, NC
NPI number
1164496402
Active
Practice location
3623 Latrobe Dr, Suite 216
Charlotte, NC 28211
Fax (704) 332-5206
Mailing address
PO Box 221249
Charlotte, NC 28222-1249
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Body Imaging Physician | 2085B0100X | 29595 (NC) |
| Diagnostic Radiology Physician Primary | 2085R0202X | 29595 (NC) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1164496402
Bennett Roy Hollenberg, MD's National Provider Identifier is 1164496402, issued on Feb 14, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Charlotte, NC. The record was last updated on Sep 29, 2020.