Individual
ERIC EDWARD HOLT I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 22ND AVE, MERIDIAN, MS 39301-3223
(601) 483-5322
Mailing address
PO BOX 749215, ATLANTA, GA 30374-9215
(901) 226-3186
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26314
MS
207R00000X
Internal Medicine Physician
59081
LA
207RN0300X
Nephrology Physician
015961
LA
207RN0300X
Nephrology Physician
059081
GA
246ZN0300X
Nephrology Specialist/Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1385069
—
LA
Enumeration date
12/18/2006
Last updated
10/22/2024
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