Individual
DR. WALTER BOWLIN HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
646 HARTNESS RD, STATESVILLE, NC 28677-3423
(704) 872-4108
(704) 873-6517
Mailing address
3001 S CHIPLEY FORD RD, STATESVILLE, NC 28625-8121
(704) 876-0572
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
21046
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01151985
AMERIGROUP COMMUNITY CARE
SC
01
—
1221507
UNITED HEALTHCARE
NC
01
—
20096066
SELECT HEALTH OF SC
SC
01
—
332189
WELLPATH
NC
01
—
4223147
AETNA
NC
01
—
43094
BCBSNC
NC
01
—
772549
WELLCARE
SC
01
—
81895
CHC CARES OF SC
SC
05
—
8943094
—
NC
01
—
P00294329
RAILROAD MEDICARE
SC
01
—
Q21046
MEDICAID
SC
05
—
Q21046
—
SC
Enumeration date
09/09/2005
Last updated
11/18/2013
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