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NPI Code Detail

MEDICARE: MS. ALISON HOLLAND SALLINGS ACNP-BC

MEDICARE: MS. ALISON HOLLAND SALLINGS ACNP-BC
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
1363LF0000XFamily Nurse Practitioner3846SC

General Provider Information

NPI Number : 1073744892
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALISON HOLLAND SALLINGS ACNP-BC
Provider Business Mailing Address
First Line : PO BOX 6069
Second Line :
City : WEST COLUMBIA
State : SC
Zip : 29171-6069
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5535 PLATT SPRINGS RD
Second Line :
City : LEXINGTON
State : SC
Zip : 29073-7519
Country : US
Telephone Number : 803-951-1880
Fax Number : 803-951-0384
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2009
Last Update Date : 11/11/2020

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