Provider Demographics
NPI:1962680991
Name:HOLTZ, DANIEL JUDAH (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:JUDAH
Last Name:HOLTZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4550 COBB PARKWAY NORTH NW
Mailing Address - Street 2:SUITE #309B
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-4180
Mailing Address - Country:US
Mailing Address - Phone:770-917-6795
Mailing Address - Fax:770-529-9077
Practice Address - Street 1:4550 COBB PARKWAY NORTH NW
Practice Address - Street 2:SUITE #309B
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-4180
Practice Address - Country:US
Practice Address - Phone:770-917-6795
Practice Address - Fax:770-529-9077
Is Sole Proprietor?:No
Enumeration Date:2008-02-01
Last Update Date:2019-10-30
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Provider Licenses
StateLicense IDTaxonomies
GA628912086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand