Holloway, Jeffrey P

Holloway, Jeffrey P is an individual health care provider with primary practice located at 9 Medical Park, Suite 200-A, Columbia SC 29203-6878. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Holloway, Jeffrey P can be contacted via phone (803) 434-7950.

Contact Information

Primary practice address
9 Medical Park, Suite 200-A Columbia SC 29203-6878
Phone: (803) 434-7950
Fax: (803) 434-7981
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 29756 South Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 29756 South Carolina

Profile Details

NPI number 1376742411
LBN Legal business name Holloway, Jeffrey P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2007
Last updated Apr 3rd, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376742411 NPPES
South Carolina MEDICAID 297562
South Carolina Other AA69552389

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