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General NPI Number Information
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NPI Number | 1194799056
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Entity Type | Individual
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Provider Name | PETER OSBORNE HOLLIDAY, III M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 1504A HARDEMAN AVE
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City | MACON
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State | GA
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Zip | 31201-1464
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Country | US
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Telephone | 478-314-5000
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Fax | 478-755-9964
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Provider Business Mailing Address
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Address Line | 1504A HARDEMAN AVE
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City | MACON
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State | GA
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Zip | 31201-1464
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Country | US
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Telephone | 478-314-5000
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Fax | 478-755-9964
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 026557
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License Number State | GA
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