Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL GORDON HOLDER JR., M.D.
ActiveDR. MICHAEL GORDON HOLDER JR., M.D. is a Pediatric Emergency Medicine healthcare provider located in JACKSON, Mississippi. NPI 1821016031 is currently active in the NPPES registry. Verify at CMS.
Pediatric Emergency Medicine · JACKSON, MS
Registration Details
- NPI Number
- 1821016031
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2006 (20.098389579207 yrs)
- Last Updated
- Mar 22, 2018
- Licenses
-
56873 (TN)35-085978 (OH)24022 (MS)17601 (NV)
Practice Information
- Address
-
2500 N STATE STJACKSON, MS, 392164500Browse MS providers · Browse ZIP 39216
- Phone
- 6019842195
- Primary Specialty
-
Pediatric Emergency Medicine
207PP0204X
- Additional Specialty
- Pediatric Emergency Medicine
- Additional Specialty
- Pediatric Emergency Medicine
- Additional Specialty
- Pediatric Emergency Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.