Jeffrey Holman, MD | |
120 Medical Park Dr, Walterboro, SC 29488-5719 | |
(843) 782-4141 | |
(843) 549-7967 |
Full Name | Jeffrey Holman |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 120 Medical Park Dr, Walterboro, 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 |
---|---|---|---|
1154309615 | NPI | - | NPPES |
GP4508 | Medicaid | SC | |
8566 | Other | SC | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 19118 (South Carolina) | Primary |
Entity Name | Presbyterian Healthcare Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Holman, MD 120 Medical Park Dr, Walterboro, SC 29488-5719 Ph: (843) 782-4141 | Jeffrey Holman, MD 120 Medical Park Dr, Walterboro, SC 29488-5719 Ph: (843) 782-4141 |
David Rosen, PA-C Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 120 Medical Park Dr, Walterboro, SC 29488 Phone: 843-782-4141 Fax: 843-549-7967 | |
Lawrence L. Conley Ii, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 120 Medical Park Dr, Walterboro, SC 29488 Phone: 843-782-4141 Fax: 843-549-7967 |