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THOMAS DANIEL HOLT MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1306848494

Individual Registrant:
 THOMAS DANIEL HOLT MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
875 FRIENDSHIP RD  TALLASSEE, AL 36078-1234 US
Tel: 334-283-3111  Fax: 334-283-3656

Contact information for business:
875 FRIENDSHIP RD  TALLASSEE, AL 36078-1234 US
Tel: 334-283-3111  Fax: 334-283-3656

Registration Information:
NPI: 1306848494
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
AL00025027

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
009953445AL05




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