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NPI Code Detail

MEDICARE: HOLLY HALDAN HERR PA

MEDICARE: HOLLY HALDAN HERR PA
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
1363AM0700XMedical Physician Assistant5198SC

General Provider Information

NPI Number : 1417710781
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY HALDAN HERR PA
Provider Business Mailing Address
First Line : 1327 ASHLEY RIVER RD
Second Line :
City : CHARLESTON
State : SC
Zip : 29407-5384
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1327 ASHLEY RIVER RD
Second Line :
City : CHARLESTON
State : SC
Zip : 29407-5384
Country : US
Telephone Number : 843-577-4551
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2024
Last Update Date : 04/17/2026

Similar Medicare Providers

1912974023 — DR. ZACHARY M ARTHURS MD
Practice Location Address:
1327 ASHLEY RIVER RD
CHARLESTON, SC
29407-5384
Practice Phone: 843-577-4551
Practice Fax: 843-577-8868
1114930021 — DR. KRISTIAN O. HOCHBERG M.D.
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Practice Fax:
1164536215 — DR. SEAN J HISLOP MD
Practice Location Address:
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CHARLESTON, SC
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Practice Fax: 843-577-8868
1396855060 — DR. ADAM KEEFER M.D.
Practice Location Address:
1327 ASHLEY RIVER RD
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29407-5384
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Practice Fax: 843-577-8868
1588762546 — ELIZABETH SPITZ PA-C
Practice Location Address:
1327 ASHLEY RIVER RD , BUILDING B
CHARLESTON, SC
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Practice Fax:
1023157575 — COASTAL VASCULAR & VEIN CENTER PA
Practice Location Address:
1327 ASHLEY RIVER RD
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29407-5384
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Practice Fax: 843-577-2227

Directions to “ HOLLY HALDAN HERR PA” Practice Location

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