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Individual

GEORGE THOMAS HOLLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
924 N HOWE ST, SOUTHPORT, NC 28461-3038
(910) 457-3800
(910) 457-7066
Mailing address
PO BOX 96860, CHARLOTTE, NC 28296-6860
(910) 754-2273

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39512
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0054
AETNA
NC
01
0128732
UNITED HEALTHCARE
NC
01
080149894
RAILROAD ,MEDICARE
NC
01
20904
CIGNA
NC
01
43093
BCBSNC
NC
05
8943093
NC
01
92258
MEDCOST
NC
01
9663589
GHI
NC
Enumeration date
12/22/2005
Last updated
06/04/2025
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