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Individual
DR. ANGELA L. HOLLIS
Active
Individual
DR. ANGELA L. HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
28679
SC
207Q00000X
Family Medicine Physician
Primary
MD428318
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000269161
UNISON
SC
01
—
062
BCBS
SC
01
—
063
BCBS
SC
01
—
18500
EVOLUTIONS
SC
01
—
20087156
SELECT HEALTH
SC
01
—
216414
MEDCOST
SC
05
—
286791
—
SC
01
—
5164353
CIGNA
SC
01
—
7195863
AENTA
SC
01
—
AA14998552
MEDICARE PTAN
SC
Enumeration date
05/25/2006
Last updated
05/29/2013
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