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Individual
HOLLY NICHOLE MUNSON
Active
Individual
HOLLY NICHOLE MUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36722
SC
207Q00000X
Family Medicine Physician
LL36722
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
367222
—
SC
01
—
SCA980
MEDICARE
SC
Enumeration date
06/18/2014
Last updated
03/16/2022
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