Dr Susan Kim Holland, MD is a
Dermatology - Dermatopathology physician based in Eustis, Florida. Dr Susan Kim Holland is licensed to practice in Georgia (license number 64562) and her current practice location is 2100 Prevatt St, Eustis, Florida. She can be reached at her office (for appointments etc.) via phone at
(352) 308-8903.
NPI number for Dr Susan Kim Holland is 1891816674 and her current mailing address is 7001 Hodgson Memorial Dr, Suite 5, Savannah, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891816674.
Physician's Profile
| Full Name | Dr Susan Kim Holland |
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| Gender | Female |
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| Speciality | Dermatology - Dermatopathology |
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| Location | 2100 Prevatt St, Eustis, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1891816674
- Provider Enumeration Date: 04/02/2007
- Last Update Date: 10/03/2019
Medical Identifiers
Medical identifiers for Dr Susan Kim Holland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891816674 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 64562 (Georgia) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | 64562 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Susan Kim Holland is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Susan Kim Holland, MD
7001 Hodgson Memorial Dr, Suite 5,
Savannah, GA 31406-2549
Ph: (912) 349-7656 | Dr Susan Kim Holland, MD
2100 Prevatt St,
Eustis, FL 32726-6130
Ph: (352) 308-8903 |
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