Healthcare Provider Details

I. General information

NPI: 1730132481
Provider Name (Legal Business Name): TODD LYNN HOLD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 DENIM DR
ERWIN NC
28339-2204
US

IV. Provider business mailing address

107 BRITTANY LN SE
ROME GA
30161-3993
US

V. Phone/Fax

Practice location:
  • Phone: 910-230-4011
  • Fax: 910-660-0948
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number046126
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2022-03293
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2022-03293
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number52042
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: