# DR. ANGELA L. HOLLIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477509354
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 28679 | SC | — |
| 207Q00000X | Family Medicine Physician | MD428318 | PA | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 05/29/2013

## 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 |