Provider Demographics
NPI:1427659341
Name:HOLLEY, HORACE PRESTON JR (MD)
Entity type:Individual
Prefix:DR
First Name:HORACE
Middle Name:PRESTON
Last Name:HOLLEY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5741 MEYER AVE
Mailing Address - Street 2:
Mailing Address - City:NEW MARKET
Mailing Address - State:MD
Mailing Address - Zip Code:21774-6322
Mailing Address - Country:US
Mailing Address - Phone:919-257-7926
Mailing Address - Fax:
Practice Address - Street 1:5741 MEYER AVE
Practice Address - Street 2:
Practice Address - City:NEW MARKET
Practice Address - State:MD
Practice Address - Zip Code:21774-6322
Practice Address - Country:US
Practice Address - Phone:919-257-7926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-06
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301082713207RI0200X
SC009042207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease