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Individual

MICHAEL D HOLLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
EASTERN NEPHROLOGY ASSOCIATES PLLC, 2021 NORTH POINT BLVD SUITE 106, NORTH MYRTLE BEACH, SC 29582-2224
(843) 663-1401
(910) 778-1433
Mailing address
EASTERN NEPHROLOGY ASSOCIATES PLLC, 1302 MEDICAL CENTER DRIVE, WILMINGTON, NC 28401-0200
(910) 343-9800
(910) 343-8650

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
23848
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110095566
RAILROAD MEDICARE
NC
01
25489
MEDCOST
NC
01
43091
BCBSNC
NC
01
5885355
CIGNA HEALTHCARE
NC
05
8943091
NC
Enumeration date
09/08/2005
Last updated
03/07/2022
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