Individual provider · Type 1 NPI
Jacob Harvey Holley Iii, MD
General Practice Physician · Donalsonville, GA
NPI number
1962842013
Active
Practice location
214 Cherry St
Donalsonville, GA 39845-1616
Fax (229) 524-8766
Mailing address
101 E Wood St
Spartanburg, SC 29303-3040
Other practice locations
- 101 E Wood St, Spartanburg, SC 29303-3040 · (864) 560-6000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | 36063 (SC) |
| General Practice Physician Primary | 208D00000X | 81053 (GA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
About NPI 1962842013
Jacob Harvey Holley Iii, MD's National Provider Identifier is 1962842013, issued on Jul 2, 2013. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Donalsonville, GA. The record was last updated on Jan 7, 2025.