| Holland Md Llc | |
|
18741 Us Highway 31 Ste 103 Cullman AL 35058-0259 | |
| (256) 727-9067 | |
| (256) 727-9076 |
| Full Name | Holland Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 18741 Us Highway 31 Ste 103, Cullman, Alabama |
| Authorized Official Name and Position | Gary Holland (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2567279067 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holland Md Llc 213 Fairway Dr Cullman AL 35057-6982 Ph: () - | Holland Md Llc 18741 Us Highway 31 Ste 103 Cullman AL 35058-0259 Ph: (256) 727-9067 |
| NPI Number | 1962229500 |
|---|---|
| Provider Enumeration Date | 09/24/2024 |
| Last Update Date | 12/19/2024 |
| Medicare PECOS PAC ID | 2062947690 |
|---|---|
| Medicare Enrollment ID | O20241120000095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962229500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gary E Holland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962457077 PECOS PAC ID: 8325935406 Enrollment ID: I20060209000033 |
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