Provider Demographics
NPI:1649271305
Name:HOLLAND, JAMES EUGENE (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:EUGENE
Last Name:HOLLAND
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 1:2573 STANTONSBURG RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-7213
Mailing Address - Country:US
Mailing Address - Phone:252-752-0313
Mailing Address - Fax:252-317-2022
Practice Address - Street 1:2573 STANTONSBURG RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-7213
Practice Address - Country:US
Practice Address - Phone:252-752-0313
Practice Address - Fax:252-317-2022
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC23291207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC43092OtherBCBS
NC8943092Medicaid
NC43092OtherBCBS
NC202282BMedicare PIN