Individual
MR. WILLIAM CHARLES HOLT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Taxonomy
Speciality
Code
Description
License number
State
2279P1005X
Pulmonary Rehabilitation Registered Respiratory Therapist
Primary
RCP 2189
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HOLT31
—
MS
Enumeration date
04/09/2013
Last updated
04/09/2013
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