Holland, Carter Graham

Holland, Carter Graham is an individual health care provider with primary practice located at 81 W Cadbury Ln , Hattiesburg MS 39402-5528. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Holland, Carter Graham can be contacted via phone (601) 606-0493.

Contact Information

Primary practice address
81 W Cadbury Ln Hattiesburg MS 39402-5528
Phone: (601) 606-0493
Fax: (601) 606-0493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00414 Mississippi

Profile Details

NPI number 1649735135
LBN Legal business name Holland, Carter Graham
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2019
Last updated Mar 28th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649735135 NPPES
Mississippi MEDICAID 06388035

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