Doctor Name: | DR. JOHN C HOLLAND |
NPI Number: | 1639286412 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 200401636 |
Business Practice Address: | 110 E. Wall St Rural Hall, NC - 27045 |
Business Phone Number: | 3366599440 |
Business Fax Number: | 3366599845 |
Mailing Address: | 110 E. Wall St, RURAL HALL |
State: | NC |
Postal Code: | 27045 |
Phone Number: | 3366599440 |
Fax Number: | 3366599845 |
NPI Enumeration Date: | 08/25/2006 |
NPI Last Update Date: | 11/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | 200401636 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |