| Holland Medical Center | |
|
6712a S Quay Rd Suffolk VA 23437-8697 | |
| (757) 657-9595 | |
| (757) 657-9950 |
| Full Name | Holland Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 6712a S Quay Rd, Suffolk, Virginia |
| Authorized Official Name and Position | Julian Dew Mckenney (OWNER) |
| Authorized Official Contact | 7576579595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holland Medical Center 6712a S Quay Rd Suffolk VA 23437-8697 Ph: (757) 657-9595 | Holland Medical Center 6712a S Quay Rd Suffolk VA 23437-8697 Ph: (757) 657-9595 |
| NPI Number | 1548463185 |
|---|---|
| Provider Enumeration Date | 06/11/2007 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548463185 | NPI | - | NPPES |
| 0102037167 | Other | VA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0102037167 (Virginia) | Primary |
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