Individual provider · NPI-1

George Thomas Holland, MD

Family Medicine · Southport, NC

NPI number1679550305
StatusActive
Last updated in NPPESJun 4, 2025

Details

NPI
1679550305
Entity type
Individual (NPI-1)
Name
George Thomas Holland
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Dec 22, 2005
Certification date
Jun 4, 2025
Last updated
Jun 4, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine39512NCYes

Practice location

924 N Howe St
Southport, NC 28461-3038

Phone 910-457-3800 · Fax 910-457-7066

Mailing address

Po Box 96860
Charlotte, NC 28296-6860

Phone 910-754-2273

Other practice locations

4503 Main St Ste 1
Shallotte, NC 28470-4583

Phone 910-754-2273

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