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NPI Code Detail

MEDICARE: MADELINE FLOYD HOLT BSN, RN

MEDICARE: MADELINE FLOYD HOLT BSN, RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WN0003XLow-Risk Neonatal Registered Nurse273997SC

General Provider Information

NPI Number : 1396698833
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELINE FLOYD HOLT BSN, RN
Provider Business Mailing Address
First Line : 295 CIRCLE K CT
Second Line :
City : LORIS
State : SC
Zip : 29569-4320
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3655 MITCHELL ST
Second Line :
City : LORIS
State : SC
Zip : 29569-2827
Country : US
Telephone Number : 843-716-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2026
Last Update Date : 02/16/2026

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