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Individual

NICHOLAS HOLLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
6600 VAN AALST BLVD BLDG 9250, FORT BENNING, GA 31905-2102
(210) 292-2003
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-2003

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1951
NE

Other

Enumeration date
05/11/2017
Last updated
09/02/2025
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