Provider Demographics
NPI:1124028014
Name:HOLT, FRANK LOVING JR (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:LOVING
Last Name:HOLT
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:SUPPLY
Mailing Address - State:NC
Mailing Address - Zip Code:28462-3350
Mailing Address - Country:US
Mailing Address - Phone:910-754-7790
Mailing Address - Fax:910-754-7838
Practice Address - Street 1:13 MEDICAL CAMPUS DR NW
Practice Address - Street 2:SUITE 102
Practice Address - City:SUPPLY
Practice Address - State:NC
Practice Address - Zip Code:28462-4093
Practice Address - Country:US
Practice Address - Phone:910-754-5988
Practice Address - Fax:910-754-5989
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC99-01545207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1235GOtherBC/BS
NC891235GMedicaid
NC2279763Medicare PIN
NC1235GOtherBC/BS