Holman, Jeffrey

Holman, Jeffrey is an individual health care provider with primary practice located at 120 Medical Park Dr , Walterboro SC 29488-5719. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Holman, Jeffrey can be contacted via phone (843) 782-4141.

Contact Information

Primary practice address
120 Medical Park Dr Walterboro SC 29488-5719
Fax: (843) 549-7967
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 19118 South Carolina

Profile Details

NPI number 1154309615
LBN Legal business name Holman, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Feb 6th, 2012 - about 13 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 1154309615 NPPES
South Carolina MEDICAID GP4508
South Carolina Other 8566

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