Jeffrey P Holloway, MD | |
9 Medical Park,, Suite 200-a, Columbia, SC 29203-6878 | |
(803) 434-7950 | |
(803) 434-7981 |
Full Name | Jeffrey P Holloway |
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Gender | Male |
Speciality | Pediatrics |
Location | 9 Medical Park,, Columbia, 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 |
---|---|---|---|
1376742411 | NPI | - | NPPES |
297562 | Medicaid | SC | |
AA69552389 | Other | SC | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | 29756 (South Carolina) | Secondary |
208000000X | Pediatrics | 29756 (South Carolina) | Primary |
Entity Name | University Specialty Clinics - Orthopaedics |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215969688 PECOS PAC ID: 3870492655 Enrollment ID: O20031231000499 |
Entity Name | Prisma Health Medical Group-midlands |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 |
Mailing Address | Practice Location Address |
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Jeffrey P Holloway, MD Po Box 743904, Atlanta, GA 30374-3904 Ph: (803) 434-7950 | Jeffrey P Holloway, MD 9 Medical Park,, Suite 200-a, Columbia, SC 29203-6878 Ph: (803) 434-7950 |
Argiri X Brook, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 14 Richland Medical Park Dr Ste 310, Columbia, SC 29203 Phone: 803-434-2300 Fax: 803-434-8686 | |
Dr. Beverley Deloris Wilson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Harbison Way Ste 221, Columbia, SC 29212 Phone: 803-724-7560 Fax: 833-320-1558 | |
Dr. Robert Glendon Long, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 Woodpine Ct, Columbia, SC 29212 Phone: 803-732-5572 Fax: 803-732-5572 | |
Dr. William Joseph Westerkam, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 320 Harbison Blvd, Ste 290, Columbia, SC 29212 Phone: 803-749-0181 Fax: 803-749-3229 | |
Michael Cory Lever, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 14 Richland Medical Park Dr Ste 320, Columbia, SC 29203 Phone: 803-434-6771 Fax: 803-434-3955 | |
Dr. Bhavana R Yajnik, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1333 Taylor St, Suite 6a, Columbia, SC 29201 Phone: 803-254-2706 Fax: 803-254-1318 | |
Andrew Marshall Reittinger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 14 Medical Park Ste 400, Children's Hospital Outpatient Center, Columbia, SC 29203 Phone: 803-434-6155 Fax: 803-434-6979 |