Individual
THOMAS DANIEL HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
875 FRIENDSHIP RD, TALLASSEE, AL 36078-1234
(334) 283-3111
(334) 283-3656
Mailing address
875 FRIENDSHIP RD, TALLASSEE, AL 36078-1234
(334) 283-3111
(334) 283-3656
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00025027
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009953445
—
AL
Enumeration date
08/10/2005
Last updated
05/17/2011
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