Provider Demographics
NPI:1891816674
Name:HOLLAND, SUSAN KIM (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:KIM
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7001 HODGSON MEMORIAL DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-2549
Mailing Address - Country:US
Mailing Address - Phone:912-349-7656
Mailing Address - Fax:912-349-7659
Practice Address - Street 1:2100 PREVATT ST
Practice Address - Street 2:
Practice Address - City:EUSTIS
Practice Address - State:FL
Practice Address - Zip Code:32726-6130
Practice Address - Country:US
Practice Address - Phone:352-308-8903
Practice Address - Fax:352-460-0785
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2019-10-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA64562208D00000X, 207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice