Individual
GREG C. HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 MCNAUGHTEN RD STE 130, COLUMBUS, OH 43213-5111
(614) 863-2745
(614) 863-2759
Mailing address
6075 E BROAD ST, COLUMBUS, OH 43213-5131
(614) 864-6363
(614) 864-2248
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
35057302
OH
208600000X
Surgery Physician
35057302
OH
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
35057302
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000120306
ATHEM
OH
05
—
0728734
—
OH
01
—
240003964
MEDICARE RAILROAD
OH
01
—
4412279
AETNA
OH
Enumeration date
05/22/2006
Last updated
01/09/2024
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