Provider Demographics
NPI:1326231374
Name:EDWIN H. HOLLER, M.D., P.A.
Entity Type:Organization
Organization Name:EDWIN H. HOLLER, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:HOBBS
Authorized Official - Last Name:HOLLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-430-9566
Mailing Address - Street 1:500 E PARKER RD
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-5113
Mailing Address - Country:US
Mailing Address - Phone:828-430-9566
Mailing Address - Fax:828-430-9935
Practice Address - Street 1:500 E PARKER RD
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-5113
Practice Address - Country:US
Practice Address - Phone:828-430-9566
Practice Address - Fax:828-430-9935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-23
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty