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NPI Code Detail

MEDICARE: CHERELL D HOLLADAY A.R.N.P.

MEDICARE: CHERELL D HOLLADAY A.R.N.P.
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
1363L00000XNurse PractitionerRN091202AZ
2363LA2200XAdult Health Nurse PractitionerARNP 9194444FL
3363LF0000XFamily Nurse Practitioner3649SC

General Provider Information

NPI Number : 1376537738
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERELL D HOLLADAY A.R.N.P.
Provider Business Mailing Address
First Line : 4310 HARD SCRABBLE RD
Second Line :
City : COLUMBIA
State : SC
Zip : 29229-9423
Country : US
Telephone Number : 352-217-2354
Fax Number :
Provider Business Practice Location Address
First Line : 4310 HARD SCRABBLE RD
Second Line :
City : COLUMBIA
State : SC
Zip : 29229-9423
Country : US
Telephone Number : 352-217-2354
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2005
Last Update Date : 03/09/2009

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