Individual
DENNIS WENDELL HOLDER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
777 HEMLOCK ST, HOSPITAL BOX 142, MACON, GA 31201-2102
(478) 633-7707
(478) 633-7879
Mailing address
777 HEMLOCK ST, MSC 142, MACON, GA 31201-2102
(478) 633-7707
(478) 633-7879
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
055758
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
735500172A
—
GA
Enumeration date
06/26/2006
Last updated
03/23/2015
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