Basic Information
| Provider Information | |||||||||
| NPI: | 1538126628 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOLLAND | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | PATRICK | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 624 QUAKER LN | ||||||||
| Address2: | STE. 207C | ||||||||
| City: | HIGH POINT | ||||||||
| State: | NC | ||||||||
| PostalCode: | 272623832 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3368832500 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3333 BROOKVIEW HILLS BLVD | ||||||||
| Address2: | |||||||||
| City: | WINSTON SALEM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 271035661 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3367680437 | ||||||||
| FaxNumber: | 3367680433 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/01/2006 | ||||||||
| LastUpdateDate: | 10/06/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 30122 | NC | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 2502154 | 01 | NC | UNITED HEALTH CARE | OTHER | 4831110002 | 01 | NC | CIGNA | OTHER | 207324A | 01 | NC | MPH PROVIDER NUMBER | OTHER | 25487 | 01 | NC | MEDCOST | OTHER | 355 | 01 | NC | PARTNERS MEDICARE | OTHER | 4098994 | 01 | NC | AETNA | OTHER | P00654534 | 01 | NC | RAILROAD MEDICARE | OTHER | 43096 | 01 | NC | BCNC | OTHER | 060012390 | 01 | NC | RAILROAD MEDICARE | OTHER | 207324B | 01 | NC | FMC PROVIDER NUMBER | OTHER | 216182 | 01 | NC | MAMSI | OTHER | 8943096 | 05 | NC | MEDICAID |