| Robert E. Holland, M.d., P.c. | |
|
2318 Heron St Brunswick GA 31520-4239 | |
| (912) 265-7660 | |
| (912) 265-7858 |
| Full Name | Robert E. Holland, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2318 Heron St, Brunswick, Georgia |
| Authorized Official Name and Position | Ami B Smith (BUSINESS MANAGER) |
| Authorized Official Contact | 9122657660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert E. Holland, M.d., P.c. 2318 Heron St Brunswick GA 31520-4239 Ph: (912) 265-7660 | Robert E. Holland, M.d., P.c. 2318 Heron St Brunswick GA 31520-4239 Ph: (912) 265-7660 |
| NPI Number | 1093093197 |
|---|---|
| Provider Enumeration Date | 07/25/2011 |
| Last Update Date | 02/13/2012 |
| Medicare PECOS PAC ID | 1355512187 |
|---|---|
| Medicare Enrollment ID | O20110927000403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093093197 | NPI | - | NPPES |
| 202G263665 | Other | GA | MEDICARE PTAN |
| 192064152A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 059662 (Georgia) | Primary |
| Provider Name | Robert E Holland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457494130 PECOS PAC ID: 0941210561 Enrollment ID: I20080201000365 |
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