Provider Demographics
NPI:1134277304
Name:BIOLA, HOLLY ROSE ROBERTS (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:ROSE ROBERTS
Last Name:BIOLA
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:MRS
Other - First Name:HOLLY
Other - Middle Name:BIOLA
Other - Last Name:GRAMBOW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 52119
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27717-2119
Mailing Address - Country:US
Mailing Address - Phone:919-956-4000
Mailing Address - Fax:919-956-4535
Practice Address - Street 1:1301 FAYETTEVILLE ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-2325
Practice Address - Country:US
Practice Address - Phone:919-956-4000
Practice Address - Fax:919-956-4535
Is Sole Proprietor?:No
Enumeration Date:2007-01-06
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200300935207QG0300X
NC2003-00935207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891347AMedicaid
NC891347AMedicaid