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NPI Code Detail

MEDICARE: DANIEL LEE HOLLAND MD

MEDICARE: DANIEL LEE HOLLAND MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician9701402NC
2208M00000XHospitalist Physician9701402NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043212764
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL LEE HOLLAND MD
Provider Business Mailing Address
First Line : PO BOX 751803
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1803
Country : US
Telephone Number : 704-633-7220
Fax Number : 704-647-0515
Provider Business Practice Location Address
First Line : 612 MOCKSVILLE AVE
Second Line :
City : SALISBURY
State : NC
Zip : 28144-2732
Country : US
Telephone Number : 704-633-7220
Fax Number : 704-647-0515
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 10/29/2020

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