person
Dr. Bradly Shane Holland, DO
Emergency Medicine Physician in Gravette, Arkansas
NPI 1619905692

Bradly Shane Holland is a Emergency Medicine Physician based in Kingsport, AR. Bradly Shane Holland practices in Gravette, AR and has the professional credentials of DO. The NPI Number for Bradly Shane Holland is 1619905692 and holds a License No. 1639 (Arkansas).

The current practice location address for Bradly Shane Holland is 1101 Jackson St Sw, Gravette, AR and can be reached out via phone at 479-787-5291 and via fax at 479-344-6404. You can also correspond with Bradly Shane Holland through the mailing address at 1217 GLENCLIFF DR, KINGSPORT, TN - 37663-2892 (mailing address contact number: ).

Location: 1101 Jackson St Sw, Gravette, AR, 37663-2892
person
Provider Profile Details
NPI Number
1619905692
Provider Name
Bradly Shane Holland
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1101 Jackson St Sw, Gravette, AR, 37663-2892
Phone Number
479-787-5291
Fax Number
479-344-6404
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4119511 01 TN BCBS OF TN
3300823 05 TN
institution
Provider Business Practice Location Address Details
Address
1101 Jackson St Sw
City
State
Zip
72736-9121
Phone Number
479-787-5291
Fax Number
479-344-6404
person
Provider Business Mailing Address Details
Address
1101 Jackson St Sw
City
State
Zip
72736-9121
Phone Number
479-787-5291
Fax Number
479-344-6404
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
License No.
1639 (Tennessee)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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