Healthcare Provider Details

I. General information

NPI: 1134239049
Provider Name (Legal Business Name): ANTHONY E HOLT D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6602 WATERS AVE BLDG C
SAVANNAH GA
31406-2778
US

IV. Provider business mailing address

6602 WATERS AVE BLDG C
SAVANNAH GA
31406-2778
US

V. Phone/Fax

Practice location:
  • Phone: 912-354-7676
  • Fax: 912-355-4566
Mailing address:
  • Phone: 912-354-7676
  • Fax: 912-355-4566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License Number102698
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: