Provider Demographics
NPI:1013091800
Name:HOLT, JAMES B (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:B
Last Name:HOLT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:75 OLD GRAHAM RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312-5655
Mailing Address - Country:US
Mailing Address - Phone:919-542-2731
Mailing Address - Fax:919-542-7083
Practice Address - Street 1:75 OLD GRAHAM RD
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-5655
Practice Address - Country:US
Practice Address - Phone:919-542-2731
Practice Address - Fax:919-542-7083
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21798207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0151824OtherUNITEDHEALTHCARE-PITTSBOR
NC25528OtherMEDCOST-PITTSBORO
43454OtherBCBS
NC0151826OtherUNITEDHEALTHCARE-SANFORD
NC152734500OtherUS DEPT. OF LABOR
NC8943454Medicaid
NC52925OtherMEDCOST-SANFORD
NC52925OtherMEDCOST-SANFORD
NC152734500OtherUS DEPT. OF LABOR
NC25528OtherMEDCOST-PITTSBORO
NC202357FMedicare PIN
NC0151826OtherUNITEDHEALTHCARE-SANFORD