Healthcare Provider Details

I. General information

NPI: 1144337049
Provider Name (Legal Business Name): DOUGLAS HOLT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 01/17/2023
Certification Date: 01/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 ARENDELL ST CARTERET GENERAL HOSPITAL
MOREHEAD CITY NC
28557-2901
US

IV. Provider business mailing address

207 CABBAGE INLET LN
WILMINGTON NC
28409-3004
US

V. Phone/Fax

Practice location:
  • Phone: 252-808-6133
  • Fax:
Mailing address:
  • Phone: 585-489-2424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number2008-01493
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: