William A Holland Jr., M.D.
Individual provider Active NPI Addiction Medicine (Family Medicine) Physician · Cleveland, TN
NPI 1497921852 · NPPES record last updated Jun 13, 2023
Key facts
- NPI
- 1497921852
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction Medicine (Family Medicine) Physician 207QA0401X
- License
- 17493 (TN)
- Practice address
- 2650 Executive Park NW
Suite 5
Cleveland, TN 37312-2746 - Phone
- (423) 479-8775
- NPI assigned
- May 6, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17493 | TN | MD | Addiction Medicine (Family Medicine) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 17493 | TN | Yes |
Addresses
Primary practice location
2650 Executive Park NW
Suite 5
Cleveland, TN 37312-2746
Mailing address
2650 Executive Park NW Ste 6
Cleveland, TN 37312-2746
Phone (423) 479-8775
Other providers in Cleveland, TN
- Melissa Gail Hixson
- Nicole Michele Hoffman Miller
- Samantha Danyell Holcomb
- Ashley Nicole Holland
- Ashley R Holland
- Cammy Shawn Holmes
- Brandon Holt
- Julie A Holt
- Home Health Care of East Tennessee, Inc.
- Home Health Care of East Tennessee, Inc.
All providers in Cleveland, TN · Addiction Medicine (Family Medicine) Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.