Holland Md Llc | |
18741 Us Highway 31 Ste 103 Cullman AL 35058-0259 | |
(256) 727-9067 | |
(256) 727-9076 |
Full Name | Holland Md Llc |
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Speciality | Internal Medicine |
Location | 18741 Us Highway 31 Ste 103, Cullman, Alabama |
Authorized Official Name and Position | Gary Holland (PHYSICIAN/OWNER) |
Authorized Official Contact | 2567279067 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Holland Md Llc 213 Fairway Dr Cullman AL 35057-6982 Ph: () - | Holland Md Llc 18741 Us Highway 31 Ste 103 Cullman AL 35058-0259 Ph: (256) 727-9067 |
NPI Number | 1962229500 |
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Provider Enumeration Date | 09/24/2024 |
Last Update Date | 12/19/2024 |
Medicare PECOS PAC ID | 2062947690 |
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Medicare Enrollment ID | O20241120000095 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962229500 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Gary E Holland |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962457077 PECOS PAC ID: 8325935406 Enrollment ID: I20060209000033 |
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