Provider Demographics
NPI:1245224872
Name:HOLZHAUER, JAMES L (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:L
Last Name:HOLZHAUER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 WILLOWBROOK RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39705-2016
Mailing Address - Country:US
Mailing Address - Phone:662-329-9191
Mailing Address - Fax:662-329-9194
Practice Address - Street 1:505 WILLOWBROOK RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39705-2016
Practice Address - Country:US
Practice Address - Phone:662-329-9191
Practice Address - Fax:662-329-9194
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2024-04-16
Deactivation Date:2006-03-25
Deactivation Code:
Reactivation Date:2006-04-07
Provider Licenses
StateLicense IDTaxonomies
MS11477174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist