Provider Demographics
NPI:1538126628
Name:HOLLAND, JAMES PATRICK (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PATRICK
Last Name:HOLLAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:624 QUAKER LN
Mailing Address - Street 2:STE. 207C
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-3832
Mailing Address - Country:US
Mailing Address - Phone:336-883-2500
Mailing Address - Fax:
Practice Address - Street 1:3333 BROOKVIEW HILLS BLVD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-5661
Practice Address - Country:US
Practice Address - Phone:336-768-0437
Practice Address - Fax:336-768-0433
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30122207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2502154OtherUNITED HEALTH CARE
NC4831110002OtherCIGNA
NC207324AOtherMPH PROVIDER NUMBER
NC25487OtherMEDCOST
NC355OtherPARTNERS MEDICARE
NC4098994OtherAETNA
NCP00654534OtherRAILROAD MEDICARE
NC43096OtherBCNC
NC060012390OtherRAILROAD MEDICARE
NC207324BOtherFMC PROVIDER NUMBER
NC216182OtherMAMSI
NC8943096Medicaid
NC207324Medicare PIN
NC060012390OtherRAILROAD MEDICARE
NC207324AOtherMPH PROVIDER NUMBER