Provider Demographics
NPI:1316938798
Name:HOLTON, ALAN LEWIS (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:LEWIS
Last Name:HOLTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2709 BLUE RIDGE RD
Mailing Address - Street 2:SUITE 290
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-6462
Mailing Address - Country:US
Mailing Address - Phone:919-782-5678
Mailing Address - Fax:919-782-9032
Practice Address - Street 1:2709 BLUE RIDGE RD
Practice Address - Street 2:SUITE 290
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-6462
Practice Address - Country:US
Practice Address - Phone:919-782-5678
Practice Address - Fax:919-782-9032
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC00-35664207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology