Holland, Charles Mitchell
Holland, Charles Mitchell is an individual health care provider with primary practice located at 509 Brookman Dr , Brookhaven MS 39601-2326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Holland, Charles Mitchell can be contacted via phone (601) 823-5204.Contact Information
Primary practice address
509 Brookman Dr
Brookhaven MS 39601-2326
Phone: (601) 823-5204
Fax: (601) 833-1224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 11043 | Mississippi |
Profile Details
| NPI number | 1285657916 |
|---|---|
| LBN Legal business name | Holland, Charles Mitchell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Oct 25th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285657916 | NPPES |
| Mississippi | MEDICAID | 00115067 |
Popular Providers
-
Braden, David Steven
624 Highway 51 N , Brookhaven MS 39601-2337 -
Shook, Josh
2033 Meadowview Ln Ste 200, Kingsport TN 37660-7569 -
Mclean, Ellen B.
4224 Houma Blvd Ste 240, Metairie LA 70006-2935 -
Thomas, Jackson Scott
427 Highway 51 N , Brookhaven MS 39601-2350 -
Iles, Joshua William
509 Brookman Dr , Brookhaven MS 39601-2326 -
Mabry, Robert Timothy
2501 Kentucky Ave , Paducah KY 42003-3813 -
Britt, Blaine Cooper
950 Brookway Blvd , Brookhaven MS 39601-2644 -
Da Costa Gomez, Carol Ana
15671 Sw 88Th St , Miami FL 33196-1103