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General NPI Number Information
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NPI Number | 1679550305
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Entity Type | Individual
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Provider Name | GEORGE THOMAS HOLLAND MD
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Gender | Male
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 924 N HOWE ST
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City | SOUTHPORT
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State | NC
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Zip | 28461-3038
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Country | US
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Telephone | 910-457-3800
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Fax | 910-457-7066
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Provider Business Mailing Address
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Address Line | PO BOX 96860
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City | CHARLOTTE
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State | NC
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Zip | 28296-6860
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Country | US
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Telephone | 910-754-2273
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 39512
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License Number State | NC
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