Holtzclaw, Priscilla Wilcox
Holtzclaw, Priscilla Wilcox is an individual health care provider with primary practice located at 3400 Salterbeck Ct Ste 100, Mt Pleasant SC 29466-7118. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Holtzclaw, Priscilla Wilcox can be contacted via phone (843) 971-3361.Contact Information
Primary practice address
3400 Salterbeck Ct Ste 100
Mt Pleasant SC 29466-7118
Phone: (843) 971-3361
Fax: (843) 971-8492
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 24134 | South Carolina |
Profile Details
| NPI number | 1164404844 |
|---|---|
| LBN Legal business name | Holtzclaw, Priscilla Wilcox |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Oct 19th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164404844 | NPPES |
| South Carolina | Other | P00775520 | RAILROAD MEDICARE ID - EFFECTIVE 5/11/2009 |
| South Carolina | MEDICAID | 241349 | RAILROAD MEDICARE ID - EFFECTIVE 5/11/2009 |
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