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Individual
DR. PRISCILLA WILCOX HOLTZCLAW
Active
Individual
DR. PRISCILLA WILCOX HOLTZCLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24134
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241349
—
SC
01
—
P00775520
RAILROAD MEDICARE ID - EFFECTIVE 5/11/2009
SC
Enumeration date
11/17/2005
Last updated
10/19/2015
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