Provider Demographics
NPI:1285209205
Name:HOLT, MATTHEW FRANKLIN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:FRANKLIN
Last Name:HOLT
Suffix:
Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:1965 MACEDONIA RD
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-5807
Mailing Address - Country:US
Mailing Address - Phone:423-312-5450
Mailing Address - Fax:423-205-3270
Practice Address - Street 1:736 CAMBRIDGE STREET
Practice Address - Street 2:CBR BUILDING, 1ST FLOOR - RM 115
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135
Practice Address - Country:US
Practice Address - Phone:617-789-2384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-21
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA289655208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery