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Individual

DR. BENJAMIN H HOLLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1199 PRINCE AVE, MSB 2ND FLOOR, ATHENS, GA 30606-2797
(706) 475-1700
(706) 457-1790
Mailing address
1500 OGLETHORPE AVE, AUITE 600A, ATHENS, GA 30606-2179
(706) 475-4933
(706) 208-8259

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
67710
GA
207RC0000X
Cardiovascular Disease Physician
67710
GA
207RI0011X
Interventional Cardiology Physician
Primary
67710
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003123963
GA
Enumeration date
05/03/2007
Last updated
01/05/2015
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