MEDICARE: MATTHEW DOUGLAS HOLLAND PTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	PTA002793	GA
2	225200000X	Physical Therapy Assistant	A4374	NC

General Provider Information

NPI Number	:	1841530045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW DOUGLAS HOLLAND PTA

Provider Business Mailing Address
First Line	:	PO BOX 1397
Second Line	:	1218 NORTH MAIN STREET
City	:	CLAYTON
State	:	GA
Zip	:	30525-0035
Country	:	US
Telephone Number	:	706-782-2585
Fax Number	:	706-782-2012

Provider Business Practice Location Address
First Line	:	1218 NORTH MAIN STREET
Second Line	:
City	:	CLAYTON
State	:	GA
Zip	:	30525-0035
Country	:	US
Telephone Number	:	706-782-2585
Fax Number	:	706-782-2012

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2013
Last Update Date	:	02/25/2013

Similar Medicare Providers

1902249675 — MS. MONIQUE DIANE PETTEYS FNP-C
Practice Location Address:

189 BO JAMES ST STE 105
CLAYTON, GA
30525-6199

Practice Phone: 706-782-0016
Practice Fax: 706-782-0180

1427782861 — MARY KELLER PMHNP-BC, RN
Practice Location Address:

24 CHECHERO ST STE 2
CLAYTON, GA
30525-6181

Practice Phone: 706-963-0654
Practice Fax: 706-973-4087

1902764319 — MEDLINK GEORGIA, INC
Practice Location Address:

811 HIGHWAY 441 N STE 101
CLAYTON, GA
30525-4202

Practice Phone: 706-389-8692
Practice Fax:

1598623910 — MEDLINK GEORGIA, INC
Practice Location Address:

811 HIGHWAY 441 N STE 106
CLAYTON, GA
30525-4202

Practice Phone: 706-389-8699
Practice Fax:

1194724815 — DR. CARL W. LYNN D.C.
Practice Location Address:

156 N MAIN ST
CLAYTON, GA
30525-4266

Practice Phone: 706-782-7005
Practice Fax: 877-525-2590

1427057363 — PROFESSIONAL RESOURCE MGMT OF RABUN, LLC
Practice Location Address:

196 RIDGECREST CIR , SURGICAL SERVICE
CLAYTON, GA
30525-4111

Practice Phone: 706-782-4233
Practice Fax: 706-782-0451

Directions to “ MATTHEW DOUGLAS HOLLAND PTA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.