Individual
DAVID H HOLT JR.
Active
Individual
DAVID H HOLT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
13755
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00360104A
MEDICAID
GA
01
—
300020825
RAIL ROAD MEDICARE
SC
01
—
57-0853635
BLUE CROSS
SC
05
—
TL2681
—
SC
Enumeration date
01/12/2007
Last updated
10/17/2007
Update your record
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