Individual
DR. JOHN F HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
629 BROAD ST, ELIZABETHTON, TN 37643-2221
(423) 543-7376
(423) 543-6604
Mailing address
629 BROAD ST, ELIZABETHTON, TN 37643-2221
(423) 543-7376
(423) 543-6604
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD T812
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0197330001
MEDICARE
TN
05
—
3594801
—
TN
Enumeration date
03/15/2006
Last updated
08/06/2014
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