Dr David O Holman Jr, MD | |
1023 Creekside Medical Dr, York, SC 29745-8624 | |
(803) 684-3738 | |
(803) 684-3808 |
Full Name | Dr David O Holman Jr |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1023 Creekside Medical Dr, York, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942263116 | NPI | - | NPPES |
070595 | Medicaid | SC | |
5915486 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 7059 (South Carolina) | Primary |
Entity Name | Piedmont Physician Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194277186 PECOS PAC ID: 7911287552 Enrollment ID: O20161216001613 |
Mailing Address | Practice Location Address |
---|---|
Dr David O Holman Jr, MD 1023 Creekside Medical Dr, York, SC 29745-8624 Ph: (803) 684-3738 | Dr David O Holman Jr, MD 1023 Creekside Medical Dr, York, SC 29745-8624 Ph: (803) 684-3738 |
Dr. Donald W. Shuler, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1023 Creekside Medical Dr, York, SC 29745 Phone: 803-684-3738 Fax: 803-684-3808 | |
Dr. Henry F. Crotwell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1023 Creekside Medical Dr, York, SC 29745 Phone: 803-684-3738 Fax: 803-684-3808 | |
Ernest Lee Miller, BUSINESS OWNER Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 27 Pecan Cir, York, SC 29745 Phone: 803-526-0630 | |
Dr. Shelaila N Villamor, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1023 Creekside Medical Dr, York, SC 29745 Phone: 803-684-3738 Fax: 803-684-3808 | |
Dr. Amir Z Ansari, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1190 Filbert Hwy Ste 110, York, SC 29745 Phone: 803-628-0004 Fax: 803-628-6004 | |
Aida Jacic, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1023 Creekside Medical Dr, York, SC 29745 Phone: 803-684-3738 Fax: 803-684-3808 | |
Dr. Aydrian Leshawn Thomas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1795 Devinney Road, York, SC 29745 Phone: 803-818-5995 Fax: 803-818-5985 |